Chesca Nicole Craig Goodell, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4470 Issued in OK

Practice address

13310 N Eastern Ave
Oklahoma City, OK 73131-1816

Phone

(405) 513-7333

Fax

(405) 286-6233

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Bryant Street Family Medicine, P.C.

  • Primary Care Clinic/Center
  • Edmond, OK
  • NPI 1396909446
  NPD Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Oklahoma Hma Urgent Care, LLC

  • General Practice Physician
  • Midwest City, OK
  • NPI 1861618720
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Mercy Hospital South

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1568481984
  NPD (past)
• Mochi Medical Ca PC

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1366510802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 N EASTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311816",
            "telephone_number": "405-513-7333",
            "fax_number": "405-513-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 N EASTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311816",
            "telephone_number": "405-513-7333",
            "fax_number": "405-286-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG GOODELL",
        "first_name": "CHESCA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Craft, CNS
• Taylor Craft, D.O.
• Tyler Cisco Craft
• Shelley Suzanne Cragg Rozas, PA-C
• Terry Samuel Craghead, CM
• Craig Wellness, LLC
• Ashley Craig, CRNA
• Bishop Craig
• Byron Marc Craig
• Carolyn Denise Craig

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.