NPIMap

Individual provider Active NPI

Hayden D. Henry, M.D.

  • Urology Physician
  • Ardmore, OK
National Provider Identifier
1639133580
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
17670 Issued in OK
Practice address
915 10TH Ave NW
Ardmore, OK 73401-4025
Phone
(580) 226-8310
Fax
(580) 223-3911
NPI assigned
Apr 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 17670 OK Primary

Addresses

Primary practice location

915 10TH Ave NW
Ardmore, OK 73401-4025

Mailing address

PO Box 1571
Ardmore, OK 73402-1571
Phone (580) 226-8310

Other identifiers 2

IdentifierTypeStateIssuer
100067550AMedicaidOK
731521343OtherOKTAX I.D. NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hayden.henry.1@4696.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000184 OK Practitioner - Urology 9436146354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center of Southern Oklahoma,PCGroup PAC ID 0547257461, 3 clinicians
Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Practice addresses (Care Compare)

1119 Walnut Dr
Suite 2
Ardmore, OK 73401-2360
Phone (580) 226-8310

1400 Bryan Dr
Durant, OK 74701-2158

1800 W University Blvd
Durant, OK 74701-3006
Phone (580) 924-3080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Wellness and Recovery LLC Current Accepting new patients
Durant Hma Physician Management, LLC Urology CurrentSince Nov 1, 2010 Accepting new patients
Urology Center of Southern Oklahoma,PC Urology CurrentSince Jul 1, 1995 Accepting new patients
OB/GYN Associates of Durant Past Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients
Durant Hma LLC Past Accepting new patients

Locations

1902 Shenandoah Dr
Ardmore, OK 73401
Phone (580) 223-6226

915 10th Ave NW
Ardmore, OK 73401
Phone (580) 220-6461

1119 Walnut Dr
Ste 2
Ardmore, OK 73401
Phone (580) 226-1727

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1400 Bryan Dr
Ste 303
Durant, OK 74701
Phone (580) 924-5211

Interoperability endpoints

  • Direct secure messaging: hayden.henry.1@33278.direct.athenahealth.com
  • Direct secure messaging: hayden.henry.1@4696.direct.athenahealth.com

Organizations & group practices 6

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 9

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": "1145059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1639133580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1571",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734021571",
            "telephone_number": "580-226-8310",
            "fax_number": "580-223-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 10TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734014025",
            "telephone_number": "580-226-8310",
            "fax_number": "580-223-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "HAYDEN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-15",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "17670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100067550A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D. NUMBER",
            "identifier": "731521343",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hayden.henry.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1400 Bryan Dr Ste 303",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747012158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.