Organization Active NPI

Charles a. Lester MD PC

  • Psychiatry Physician
  • Muskogee, OK
National Provider Identifier
1841593779
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17326 Issued in OK
Legal business name
CHARLES A. LESTER MD PC
Practice address
101 Rockefeller Dr
Suite 202
Muskogee, OK 74401-5056
Phone
(918) 687-9227
Fax
(918) 687-5676
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Charles A Lester, M.D.NPI 1851357974
Title
Psychiatrist
Phone
(918) 687-9227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 17326 OK Primary

Addresses

Primary practice location

101 Rockefeller Dr
Suite 202
Muskogee, OK 74401-5056

Mailing address

PO Box 678
Muskogee, OK 74402-0678
Phone (918) 687-9227

Other identifiers 1

IdentifierTypeStateIssuer
100108120AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110215000274 OK Part B Supplier - Clinic/Group Practice 1850571449 Receives reassigned benefits from 1 practitioner
Practice locations: Muskogee, OK

National Provider Directory

National Provider Directory

Locations

333 S 38th St
Ste K
Muskogee, OK 74401
Phone (918) 683-8827

101 Rockefeller Dr
Ste 202
Muskogee, OK 74401
Phone (918) 687-9227

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1841593779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744020678",
            "telephone_number": "918-687-9227",
            "fax_number": "918-687-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROCKEFELLER DR",
            "address_2": "SUITE 202",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015056",
            "telephone_number": "918-687-9227",
            "fax_number": "918-687-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. LESTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "918-687-9227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "17326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.