OrganizationActive
Chad D. Willis, D.O., P.C.
NPI 1174844864 · Otolaryngology Physician · Lawton, OK
Chad D. Willis, D.O., P.C. is a Otolaryngology Physician organization in Lawton, OK (NPI 1174844864).
Provider details
- NPI number
- 1174844864
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Therese Simon, Crentialing(580) 531-0022
- License
- 4875 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5402 Sw Lee Blvd
Lawton, OK 73505-9521
Phone: (580) 531-0022
Fax: (580) 531-0026
Street-level locationGet directions
Mailing address
5402 Sw Lee Blvd
Lawton, OK 73505-9521
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2010-06-16
Frequently asked questions
- What is Chad D. Willis, D.O., P.C.'s NPI number?
- Chad D. Willis, D.O., P.C.'s National Provider Identifier (NPI) is 1174844864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chad D. Willis, D.O., P.C.?
- Chad D. Willis, D.O., P.C. is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Chad D. Willis, D.O., P.C. located?
- Chad D. Willis, D.O., P.C.'s practice location on file with NPPES is 5402 Sw Lee Blvd, Lawton, OK 73505-9521.
- What is Chad D. Willis, D.O., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Chad D. Willis, D.O., P.C. is (580) 531-0022.
- Who is the authorized official for Chad D. Willis, D.O., P.C.?
- The authorized official listed on Chad D. Willis, D.O., P.C.'s NPPES record is Therese Simon, Crentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chad D. Willis, D.O., P.C.'s NPI active?
- Yes — Chad D. Willis, D.O., P.C.'s NPI (1174844864) is active in the NPPES registry as of the last update on 2010-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.