Organization Active NPI

Richard E. Herlihy MD, PC

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1851877567
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
12710 Issued in OK
Legal business name
RICHARD E. HERLIHY MD, PC
Practice address
4140 W Memorial Rd Ste 611
Oklahoma City, OK 73120-8300
Phone
(405) 749-4288
Fax
(405) 749-4287
NPI assigned
Jul 16, 2018
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Richard E Herlihy, MDNPI 1023070356
Title
President
Phone
(405) 749-4288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 12710 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd Ste 611
Oklahoma City, OK 73120-8300

Mailing address

4140 W Memorial Rd Ste 611
Oklahoma City, OK 73120-8300
Phone (405) 749-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180807002025 OK Part B Supplier - Clinic/Group Practice 2365790490 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0954725Richard E Herlihy, MD PC4140 West Memorial, Suite 611, Oklahoma City, OK 73120Provider-performed microscopyDec 6, 2026

National Provider Directory

National Provider Directory

Locations

4140 W Memorial Rd
Ste 611
Oklahoma City, OK 73120
Phone (405) 749-4288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1851877567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 611",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208300",
            "telephone_number": "405-749-4288",
            "fax_number": "405-749-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 611",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208300",
            "telephone_number": "405-749-4288",
            "fax_number": "405-749-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. HERLIHY MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "HERLIHY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-749-4288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OK",
            "license": "12710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.