Active NPI
William L Hennrikus Jr., M.D.
- Adult Reconstructive Orthopaedic Surgery Physician
- Hershey, PA
National Provider Identifier
1821013145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- MD058456L
- Practice address
- 30 Hope Dr Ste 2200
Hershey, PA 17033-2036 - Phone
- (717) 531-7123
- Fax
- (717) 531-0385
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | A41574 | CA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | MD058456L | PA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD058456L | PA | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD058456L | PA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | MD058456L | PA |
Addresses
Primary practice location
30 Hope Dr Ste 2200
Hershey, PA 17033-2036
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022383500001 | Medicaid | PA | |
| 00A415740 | Medicaid | CA | |
| GR0085690 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41574 | CA | MD | Pediatric Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1821013145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HOPE DR STE 2200",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332036",
"telephone_number": "717-531-7123",
"fax_number": "717-531-0385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNRIKUS",
"first_name": "WILLIAM",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CA",
"license": "A41574",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "PA",
"license": "MD058456L",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "PA",
"license": "MD058456L",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "PA",
"license": "MD058456L",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD058456L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022383500001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A415740",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0085690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.