William A Herndon, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

14145 Issued in OK

Practice address

1616 S Kelly Ave
Edmond, OK 73013-3651

Phone

(405) 330-0032

Fax

(405) 715-8808

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• TPG Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1194902296
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1972575306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133651",
            "telephone_number": "405-330-0032",
            "fax_number": "405-715-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133651",
            "telephone_number": "405-330-0032",
            "fax_number": "405-715-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "14145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200032512",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna K Hering, ATC
• David Hernandez
• Devin Renee Hernandez
• Elias Lemuel Hernandez
• Jose Hernandez
• Tiffany Renee Herrin
• Kenneth Wayne Herrold, RPH
• Cynthia Alisia Herron
• Megan Dawn Herron
• Mailee Kaytlyn Hesby

• Orthopaedic Surgery Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.