Chauncey B Witcraft MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

13131 Issued in OK

Legal business name

CHAUNCEY B WITCRAFT MD PC

Practice address

310 2ND Ave SW Ste 105
Miami, OK 74354-6708

Phone

(918) 542-2812

Fax

(918) 542-2814

NPI assigned

Apr 20, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chauncey B Witcraft III, MDNPI 1730116633

Title

President

Phone

(918) 542-2812

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chauncey B Witcraft III, MD

  • Ophthalmology Physician
  • Miami, OK
  • NPI 1730116633
  Authorized official Same address or phone

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1285852947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW STE 105",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546708",
            "telephone_number": "918-542-2812",
            "fax_number": "918-542-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW STE 105",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546708",
            "telephone_number": "918-542-2812",
            "fax_number": "918-542-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUNCEY B WITCRAFT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "WITCRAFT",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-542-2812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "13131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD-OK",
            "identifier": "363287549002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Carver
• Stevi Lynn Case, PTA
• Sarah Cass, LCSW
• Kable Cawyer
• Samantha Hope Cawyer, PTA
• Whitney Chavez
• Shirley Chesnut, DO
• Michelle Elaine Christman, M.A., CCC-SLP
• Audrey Lynn Chubb, RN
• Kimberlee Ann Chuculate

• Medical Specialty Clinic/Center in Miami, OK
• Providers in Miami, OK by specialty
• Medical Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.