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

Dr. Chad D Willis, DO

Individual provider Emergency Medicine Physician · NPI 1750432043

Dr. Chad D Willis, DO is an Otolaryngology in Shawnee, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2005, 21 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying
21
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
MO, OK
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3214 Kethley Rd
Shawnee, OK 74804-9625
Phone: (405) 273-5801
Fax: (405) 878-3794
Show map & directions

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

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence 4875 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2006033639 (MO)

Record details

NPI number1750432043
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESNovember 11, 2016
Mailing addressPo Box 258884, Oklahoma City, OK 73125-8884

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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