Chad P Edwards, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4353 Issued in OK

Practice address

12142 S Yukon Ave
Glenpool, OK 74033

Phone

(918) 935-3636

Fax

(918) 296-7934

NPI assigned

Jan 8, 2007

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Transformation Health PLLCGroup PAC ID 3476895822, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transformation Health PLLC

  • Family Medicine Physician
  • Glenpool, OK
  • NPI 1497263818
  Medicare reassignment Care Compare group Authorized official
• Revolution Health & Wellness Clinic PLLC

  • Family Medicine Physician
  • Glenpool, OK
  • NPI 1649515446
  Authorized official Same address or phone
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Bolivar General Hospital, Inc.

  dba Bolivar ER

  • General Acute Care Hospital
  • Bolivar, TN
  • NPI 1174545446
  NPD (past)
• Bolivar General Hospital, Inc.

  dba West Tennessee Healthcare Bolivar Hospital

  • Critical Access Hospital
  • Bolivar, TN
  • NPI 1518957950
  NPD (past)
• Caleb Creek Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Springfield, TN
  • NPI 1780994608
  NPD (past)
• Decatur County General Hospital

  • General Acute Care Hospital
  • Parsons, TN
  • NPI 1104804566
  NPD (past)
• Emergency Physicians of Hopkinsville PLLC

  • Emergency Medicine Physician
  • Hopkinsville, KY
  • NPI 1497951388
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Francis Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1003039488
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1144228487
  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1790833481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12142 S YUKON AVE",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740336621",
            "telephone_number": "918-935-3636",
            "fax_number": "918-296-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12142 S YUKON AVE",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "74033",
            "telephone_number": "918-935-3636",
            "fax_number": "918-296-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHAD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03124",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J. Price, D.O. P.C. (Family Medicine of Glenpool)
• Brooke Lynn Dooley, MS, RD/LD
• Drayer Physical Therapy Oklahoma LLC
• Colton Douglas Dunlap, RDN
• Eclipse Smiles, PLLC
• Emergency Medical Services Plus, LLC
• Monica Lynn Englehart, APRN
• David Ewing
• Eyecare Associates of South Tulsa PC (Unity Eye Centers Glenpool)
• Miki Lynn Finnin, PHARM. D.

• Family Medicine Physician in Glenpool, OK
• Providers in Glenpool, 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 Nov 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.