William J Herron D.O P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2097 Issued in OK

Legal business name

WILLIAM J HERRON D.O P.C.

Practice address

1315 Lynn LN
Idabel, OK 74745-6845

Phone

(580) 286-3328

Fax

(580) 286-2444

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William Joseph Herron, D.O.NPI 1497753818

Title

President

Phone

(580) 286-3328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Joseph Herron, D.O.

  • Family Medicine Physician
  • Idabel, OK
  • NPI 1497753818
  Medicare reassignment NPD Authorized official
• Wilma Joy Forshee, APRN

  • Family Nurse Practitioner
  • Idabel, OK
  • NPI 1821873852
  Medicare reassignment NPD

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282435200000",
    "number": "1902111693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456845",
            "telephone_number": "580-286-3328",
            "fax_number": "580-286-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456845",
            "telephone_number": "580-286-3328",
            "fax_number": "580-286-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J HERRON D.O P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-286-3328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White River Home Health
• White River Home Health LLC
• Catherine White, M.ED, LPC
• Krissika Faith Whittaker, LMSW
• Dennis Dale Whitten, MACJ, LADC, ICAADC
• Angela Williams-Smith
• Ross Michael Williams, D.D.S.
• Tammy Michelle Williams, PA-C
• Kristi C. Williamson, RDH
• Magan Marie Willingham, LPC

• Family Medicine Physician in Idabel, OK
• Providers in Idabel, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.