William H Chesser, DO
Individual provider Active NPI Family Medicine Physician · Konawa, OK
NPI 1508959685 · NPPES record last updated Apr 2, 2015
Key facts
- NPI
- 1508959685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3093 (OK)
- Practice address
- 527 W 3Rd St
Konawa, OK 74849-1415 - Phone
- (580) 925-3286
- Fax
- (580) 925-9149
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Oklahoma Family Medical Center Inc
Practice addresses (Care Compare)
301 N Monte Vista St
Ada, OK 74820-4607
Phone (580) 436-5111
Hospital & facility affiliations
- Enhabit Home Health of Central Oklahoma
- Centric Home Health
- Mercy Hospital Ada
- SSM Health St Anthony Hospital - Shawnee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080409000073 | OK | Practitioner - Family Practice | 8325070915 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3093 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Emergency Services PC | Current |
Accepting new patients | |
| Central Oklahoma Family Medical Center Inc | Current |
Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Current |
Accepting new patients | |
| Central Oklahoma Family Medical Center Inc | Current |
Accepting new patients | |
| Central Oklahoma Family Medical Center, Inc. | Current | Accepting new patients | |
| Sulphur Clinic Inc. | Family Medicine | Past | Accepting new patients |
| Seminole Health Center LLC | Past | Accepting new patients |
Locations
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700
807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413
301 N Monte Vista St
Ada, OK 74820
Phone (580) 436-2262
527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286
3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone (405) 815-5000
2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Interoperability endpoints
- william.chesser@cof.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3093 | OK | Yes |
Addresses
Primary practice location
527 W 3Rd St
Konawa, OK 74849-1415
Mailing address
527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100136880A | Medicaid | OK |
Other providers in Konawa, OK
- Central Oklahoma Family Medical Center Pharmacy
- Central Oklahoma Family Medical Center, Inc
- Central Oklahoma Family Medical Center, Inc.
- Central Oklahoma Family Medical Center, Inc.
- Doris Chance
- City of Konawa
- Lindsey Clark
- Kolby Len Cox
- Emily Nicole Davis
- Sharon Denton
All providers in Konawa, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.