IndividualActive
Charles Mettry, D.O.
NPI 1871581470 · Pediatric Adolescent Medicine Physician · Ada, OK
Provider details
- NPI number
- 1871581470
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2206 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
201 N Monte Vista St Ste B
Ada, OK 74820-7220
Phone: (580) 436-4200
Fax: (580) 436-6423
Street-level locationGet directions
Mailing address
201 N Monte Vista St Ste B
Ada, OK 74820-7220
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.