Individual provider Active NPI

William J. Hale II, M.D.

  • Orthopaedic Surgery Physician
  • Edmond, OK
National Provider Identifier
1215917778
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
19051 Issued in OK
Practice address
2017 W I 35 Frontage Rd
Sutie 250
Edmond, OK 73013-8504
Phone
(405) 757-3340
Fax
(405) 757-3341
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 19051 OK Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 19051 OK

Addresses

Primary practice location

2017 W I 35 Frontage Rd
Sutie 250
Edmond, OK 73013-8504

Mailing address

2017 W I 35 Frontage Rd
Sutie 250
Edmond, OK 73013-8504
Phone (405) 757-3340

Other identifiers 1

IdentifierTypeStateIssuer
100114180BMedicaidOK

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
I20050512000882 OK Practitioner - Orthopedic Surgery 5496796112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians
Citizen Potawatomi NationGroup PAC ID 3375511488, shared by 2 NPIs, 35 clinicians

Practice addresses (Care Compare)

1102 W Macarthur St
Shawnee, OK 74804-1743
Phone (405) 273-2270

781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone (405) 964-4025

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Oklahoma City, OK, CCN 377642
  • Elara Caring Xxiii Home health agency, Ada, OK, CCN 377568
  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • Holdenville General Hospital Hospital, Holdenville, OK, CCN 371321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)42
Upper limb (arm) arthroscopy (minimally invasive joint repair)60

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County Inc Current Accepting new patients
Saints Medical Group, LLC CurrentSince May 4, 2024 Accepting new patients
Saints Medical Group, LLC Orthopaedic Surgery CurrentSince May 4, 2024 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
St Anthony Shawnee Hospital Inc Orthopaedic Surgery Past Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

3200 Medical Park Dr
Shawnee, OK 74804
Phone (405) 878-3432

520 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-6653

Interoperability endpoints

  • Direct secure messaging: whale158860@directa.mercy.net
  • Direct secure messaging: whale@direct.uspi.com
  • Direct secure messaging: whale389830@direct-ehr-ssmhc.com

Organizations & group practices 7

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

Hospital & facility affiliations 4

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1215917778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD",
            "address_2": "SUTIE 250",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138504",
            "telephone_number": "405-757-3340",
            "fax_number": "405-757-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD",
            "address_2": "SUTIE 250",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138504",
            "telephone_number": "405-757-3340",
            "fax_number": "405-757-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "19051",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OK",
            "license": "19051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114180B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.