Individual provider Active NPI

Thomas Essex, D.O.

  • Internal Medicine Physician
  • Chickasha, OK
National Provider Identifier
1689603151
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3086 Issued in OK
Practice address
304 S 29TH St
Chickasha, OK 73018
Phone
(405) 896-8058
Fax
(844) 965-9881
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3086 OK Primary

Addresses

Primary practice location

304 S 29TH St
Chickasha, OK 73018

Mailing address

PO Box 929
Chickasha, OK 73023-0929
Phone (405) 896-8058

Other practice location 1

2220 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 779-2721

Other practice location 2

2220 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 779-2721

Other practice location 3

530 N Ridge Rd Ste B
Wichita, KS 67212-6576
Phone (316) 616-1055

Other identifiers 2

IdentifierTypeStateIssuer
100202980CMedicaidOK
201097950AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3086OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1689603151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730230929",
            "telephone_number": "405-896-8058",
            "fax_number": "844-965-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "73018",
            "telephone_number": "405-896-8058",
            "fax_number": "844-965-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182738",
            "country_code": "US",
            "telephone_number": "405-779-2721",
            "fax_number": "405-779-2310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182738",
            "country_code": "US",
            "telephone_number": "405-779-2721",
            "fax_number": "405-779-2310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 N Ridge Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672126576",
            "country_code": "US",
            "telephone_number": "316-616-1055",
            "fax_number": "855-633-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESSEX",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202980C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201097950A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.