Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chacy Emmanuel Ong Llido

Individual provider Physician Assistant · NPI 1245125210

Chacy Emmanuel Ong Llido is a Physician Assistant in Moore, Oklahoma. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2025

Practice location Address checks out

400 N Eastern Ave
Moore, OK 73160-5833
Phone: (405) 757-7818
Fax: (405) 706-0645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2400 S Country Club Rd, El Reno, OK 73036-5801 — (405) 320-9444
  • 3300 Nw Expressway, Oklahoma City, OK 73112-4418 — (405) 949-3155

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OK)

Record details

NPI number1245125210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Moore