Hayden D Henry, MD | |
915 10th Ave Nw, Ardmore, OK 73401-4025 | |
(580) 226-8310 | |
(580) 223-3911 |
Full Name | Hayden D Henry |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 34 Years |
Location | 915 10th Ave Nw, Ardmore, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639133580 | NPI | - | NPPES |
100067550A | Medicaid | OK | |
731521343 | Other | OK | TAX I.D. NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 17670 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Alliancehealth Durant | Durant, OK | Hospital |
Chickasaw Nation Medical Center | Ada, OK | Hospital |
Mercy Hospital Tishomingo Inc | Tishomingo, OK | Hospital |
Onecore Health | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urology Center Of Southern Oklahoma,pc | 0547257461 | 2 |
Durant Hma Physician Management Llc | 3375638976 | 20 |
Entity Name | Urology Center Of Southern Oklahoma,pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881609568 PECOS PAC ID: 0547257461 Enrollment ID: O20040430000390 |
Entity Name | Durant Hma Physician Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043361116 PECOS PAC ID: 3375638976 Enrollment ID: O20070927000304 |
Mailing Address | Practice Location Address |
---|---|
Hayden D Henry, MD Po Box 1571, Ardmore, OK 73402-1571 Ph: (580) 226-8310 | Hayden D Henry, MD 915 10th Ave Nw, Ardmore, OK 73401-4025 Ph: (580) 226-8310 |
Bolaji S. Sofola, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 915 10th Ave Nw, Ardmore, OK 73401 Phone: 580-226-8310 Fax: 580-223-3911 |