Individual provider · Type 1 NPI

Chacy Emmanuel Ong Llido

Physician Assistant · Moore, OK

NPI number 1245125210 Active

Practice location

400 N Eastern Ave
Moore, OK 73160-5833

Fax (405) 706-0645

Mailing address

PO Box 891625
Oklahoma City, OK 73189-1625

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245125210

Chacy Emmanuel Ong Llido's National Provider Identifier is 1245125210, issued on Jun 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moore, OK. The record was last updated on Apr 29, 2026.