CHAD D. WILLIS, D.O., P.C.
NPI 1174844864
Otolaryngology in Lawton, OK

Active since June 16, 2010
5402 SW LEE BLVD, LAWTON, OK 73505(580) 531-0022(580) 531-0026 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chad D. Willis, D.o., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAD D. WILLIS, D.O., P.C. (NPI 1174844864) is a healthcare organization registered as an otolaryngology in Lawton, Oklahoma and active in the NPI registry since June 2010. The organization lists Therese A Simon, Crentialing, as its authorized official.

NPPES Registry Identity

NPI1174844864
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCHAD D. WILLIS, D.O., P.C.
Location Address5402 SW LEE BLVDLawton, OK 73505-9521
Mailing Address5402 Sw Lee BlvdLawton, OK 73505-9521 · (580) 531-0022 · Fax (580) 531-0026
Fax(580) 531-0026
Organization SubpartNo
Authorized OfficialTherese A SimonCrentialing · (580) 531-0022
Enumeration DateJune 16, 2010
NPI 1174844864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OK · 4875
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5402 SW LEE BLVD, Lawton, OK 73505

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
5402 SW LEE BLVD
LAWTON, OK 73505
Otolaryngology
5402 SW LEE BLVD
LAWTON, OK 73505
Clinic/Center
5402 SW LEE BLVD
LAWTON, OK 73505
Physician Assistant (Medical)
5402 SW LEE BLVD
LAWTON, OK 73505
Otolaryngology
5402 SW LEE BLVD
LAWTON, OK 73505
Hearing Instrument Specialist
5402 SW LEE BLVD
LAWTON, OK 73505
Hearing Instrument Specialist
5402 SW LEE BLVD
LAWTON, OK 73505
Physician Assistant (Medical)
5402 SW LEE BLVD
LAWTON, OK 73505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad D. Willis, D.O., P.C.'s NPI number?

The NPI number for Chad D. Willis, D.O., P.C. is 1174844864. It was assigned to this organization in the NPPES registry on June 16, 2010.

Where is Chad D. Willis, D.O., P.C. located?

Chad D. Willis, D.O., P.C. is located at 5402 SW Lee Blvd, Lawton, OK 73505. The listed phone number is (580) 531-0022.

What is Chad D. Willis, D.O., P.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Chad D. Willis, D.O., P.C. was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.