Provider Demographics
NPI:1417984113
Name:HESS, DON RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:RICHARD
Last Name:HESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2100 W IOWA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-2736
Mailing Address - Country:US
Mailing Address - Phone:405-224-2100
Mailing Address - Fax:405-779-2808
Practice Address - Street 1:2100 W IOWA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2736
Practice Address - Country:US
Practice Address - Phone:405-224-2100
Practice Address - Fax:405-779-2808
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2016-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK9935207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100122160CMedicaid
OK100122160CMedicaid
OK322698ZN2YMedicare PIN