Provider Demographics
NPI:1093714008
Name:CHESLER, DONALD B (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:B
Last Name:CHESLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N AIR DEPOT BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-3760
Mailing Address - Country:US
Mailing Address - Phone:405-736-1500
Mailing Address - Fax:405-736-1503
Practice Address - Street 1:801 N AIR DEPOT BLVD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-3760
Practice Address - Country:US
Practice Address - Phone:405-736-1500
Practice Address - Fax:405-736-1503
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK152012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE08016Medicare UPIN
OK8HZ177Medicare ID - Type UnspecifiedPART B