Organization Active NPI

Vo Hennon Medical PLLC

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1124823349
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VO HENNON MEDICAL PLLC
Practice address
19420 N 59TH Ave Ste H800
Glendale, AZ 85308-6977
Phone
(602) 889-7365
Fax
(844) 772-0886
NPI assigned
Feb 13, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William P Hennon, MDNPI 1295149896
Title
Physician / Owner
Phone
(602) 889-7365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

19420 N 59TH Ave Ste H800
Glendale, AZ 85308-6977

Mailing address

19420 N 59TH Ave Ste H800
Glendale, AZ 85308-6977
Phone (602) 889-7365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250501002420 AZ Part B Supplier - Clinic/Group Practice 6103342209 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2095247Vo Hennon Medical PLLC19420 N 59TH Ave, Ste H800, Glendale, AZ 85308Certificate of waiverMay 3, 2027

National Provider Directory

National Provider Directory

Locations

19420 N 59th Ave
Ste H800
Glendale, AZ 85308
Phone (602) 889-7365

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1124823349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE STE H800",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086977",
            "telephone_number": "602-889-7365",
            "fax_number": "844-772-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE STE H800",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086977",
            "telephone_number": "602-889-7365",
            "fax_number": "844-772-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VO HENNON MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "HENNON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "602-889-7365",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.