NPIMap

Individual provider Active NPI

Crysten Cheatwood, DO

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1225458771
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5723 Issued in OK
Practice address
3433 NW 56TH St Ste 210B
Oklahoma City, OK 73112-4445
Phone
(405) 945-4701
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 5723 OK Primary

Addresses

Primary practice location

3433 NW 56TH St Ste 210B
Oklahoma City, OK 73112-4445

Mailing address

3433 NW 56TH St Ste 210B
Oklahoma City, OK 73112-4445
Phone (405) 945-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823003001 OK Practitioner - Obstetrics/Gynecology 6709135742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3433 NW 56TH St
Suite 210B
Oklahoma City, OK 73112-4445
Phone (405) 945-4701

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Lakeside Women'S Hospital, a Member of Integris He Hospital, Oklahoma City, OK, CCN 370199
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5723OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crysten Cheatwood DO, PC Single Specialty CurrentSince Aug 1, 2018 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Single Specialty Past Accepting new patients

Locations

3433 NW 56th St
Ste 210B
Oklahoma City, OK 73112
Phone (405) 945-4701

Interoperability endpoints

  • Direct secure messaging: crysten.cheatwood@direct.stjohnhealthsystem.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1225458771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST STE 210B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124445",
            "telephone_number": "405-945-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST STE 210B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124445",
            "telephone_number": "405-945-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATWOOD",
        "first_name": "CRYSTEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "5723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.