Active NPI
William Henry Dudney, M.D.
- Emergency Medicine Physician
- Tulsa, OK
National Provider Identifier
1235257593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9952
- Practice address
- 6080 S. Sheridan
Tulsa, OK 74145-9212 - Phone
- (918) 508-7440
- Fax
- (918) 508-7442
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9952 | OK | Primary |
Addresses
Primary practice location
6080 S. Sheridan
Tulsa, OK 74145-9212
Mailing address
6080 S. Sheridan
Tulsa, OK 74145-9212
Phone (918) 508-7440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100790660A | Medicaid | OK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090324000321 | OK | Practitioner - Family Practice | 9335206077 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Management Associates PC | Emergency Medicine | Past | Accepting new patients |
| St John Medical Center Inc | Past | Accepting new patients | |
| Jefferson County Healthcare Authority | Past | Accepting new patients | |
| Quik Care Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1750360061
-
- Critical Access Hospital
- Waurika, OK
- NPI 1144245655
-
- Primary Care Clinic/Center
- Tulsa, OK
- NPI 1740476571
-
- Psychiatric Hospital Unit
- Tulsa, OK
- NPI 1144306382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1235257593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6080 S. SHERIDAN",
"city": "TULSA",
"state": "OK",
"postal_code": "741459212",
"telephone_number": "918-508-7440",
"fax_number": "918-508-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 S. SHERIDAN",
"city": "TULSA",
"state": "OK",
"postal_code": "741459212",
"telephone_number": "918-508-7440",
"fax_number": "918-508-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDNEY",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "9952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100790660A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.