Individual provider Active NPI

Paul Thomas Chidsey

  • Emergency Medicine Physician
  • York, PA
National Provider Identifier
1700379229
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0073456 Issued in CO
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 851-2311
NPI assigned
Jun 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT018412 PA
Emergency Medicine Physician 207P00000X DR.0073456 CO Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

1001 S George St
York, PA 17403-3676
Phone (717) 851-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, WY, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210331000092 OK Practitioner - Emergency Medicine 1759798184 Reassigns benefits to 2 organizations
I20240807004250 WY Practitioner - Emergency Medicine 1759798184 Reassigns benefits to 2 organizations
I20240828000522 CO Practitioner - Emergency Medicine 1759798184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group LLCGroup PAC ID 5092094532, 39 clinicians
Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 352-4121

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
81.24
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
84.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0073456COMDEmergency Medicine Physician
OT018412PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District CurrentSince Aug 20, 2024 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince Mar 18, 2021 Accepting new patients
Campbell County Hospital District CurrentSince Aug 20, 2024 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Sep 26, 2023 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Summit Medical Group, LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Saint Francis Hospital Vinita, Inc Past Accepting new patients

Locations

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 9

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 4

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": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1700379229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-851-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-851-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDSEY",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT018412",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0073456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.