Individual provider Active NPI

Richenda Dawn Herren, MD

  • Surgery Physician
  • McAlester, OK
National Provider Identifier
1164407995
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31002 Issued in OK
Practice address
2 E Clark Bass Blvd
Suite 301
McAlester, OK 74501-4282
Phone
(918) 421-6846
Fax
(918) 421-6875
NPI assigned
Dec 14, 2005
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31002 OK Primary

Addresses

Primary practice location

2 E Clark Bass Blvd
Suite 301
McAlester, OK 74501-4282

Mailing address

2 E Clark Bass Blvd
Suite 301
McAlester, OK 74501-4282
Phone (918) 421-6846

Other identifiers 2

IdentifierTypeStateIssuer
100168240BMedicaidKS
200568320AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150130001517 OK Practitioner - General Surgery 5092623926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

101 Rockefeller Dr
Suite 201
Muskogee, OK 74401-5050
Phone (918) 682-4580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux41
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25344KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Apr 3, 2017 Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients

Locations

101 Rockefeller Dr
Ste 100
Muskogee, OK 74401
Phone (918) 683-1831

101 Rockefeller Dr
Ste 201
Muskogee, OK 74401
Phone (918) 682-4580

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • Direct secure messaging: rherren100733@direct.saintfrancis.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1164407995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E CLARK BASS BLVD",
            "address_2": "SUITE 301",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014282",
            "telephone_number": "918-421-6846",
            "fax_number": "918-421-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E CLARK BASS BLVD",
            "address_2": "SUITE 301",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014282",
            "telephone_number": "918-421-6846",
            "fax_number": "918-421-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREN",
        "first_name": "RICHENDA",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "31002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100168240B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200568320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.