Individual provider Active NPI

William Henry Dudney, M.D.

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1235257593
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9952 Issued in OK
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

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100790660AMedicaidOK

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
I20090324000321 OK Practitioner - Family PracticePractitioner - Emergency Medicine 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.