Hydroglo Aestetics and Wellness

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HYDROGLO AESTETICS AND WELLNESS

Practice address

2237 W Memorial Rd Ste 112
Oklahoma City, OK 73134-8064

Phone

(405) 849-4785

Fax

(405) 286-1698

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Jillian Herndon

Title

Manager

Phone

(405) 557-1200

Specialties & licenses 3

Addresses

Other names 1

• HOPE VITAMIN INFUSIONS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Brown, APRN-C

  • Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1821561770
  NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1225757255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 W MEMORIAL RD STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348064",
            "telephone_number": "405-849-4785",
            "fax_number": "405-286-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 W MEMORIAL RD STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348064",
            "telephone_number": "405-849-4785",
            "fax_number": "405-286-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDROGLO AESTETICS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-557-1200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE VITAMIN INFUSIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOPE VITAMIN INFUSIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Lee Hyde, CRNA
• Diane Hoehn Hyde, PHD
• Homer Clark Hyde Jr., MD
• Madalyn Grace Hyde
• Philip Carlton Hyde, PH.D.
• Arsel Lionel Hyemgie, RN
• Alexandra Hylton
• Rohan Hylton
• Robert Fryer Hynd, MD
• Vicky Lynn Hysell, MC, BHRS

• Health Service Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Health Service Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.