William J Herron (NPI# 1497753818, PAC ID# 4486793650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497753818 |
| PAC ID by PECOS | 4486793650 |
| Professional Enrollment ID | I20091201000254 |
| Full Name | William J Herron |
| Organization Legal Name | WILLIAM J HERRON D.O P.C. |
| Address |
1315 S Lynn Ln Idabel OK 74745-6845 |
| Phone Number | 5802863328 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193804706 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371342 |
| Address | Phone | Organization |
|---|---|---|
| 1315 S Lynn Ln, Idabel, OK 74745-6845 | 5802863328 | WILLIAM J HERRON D.O P.C. |
| Organization Legal Name | WILLIAM J HERRON D.O P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Herron | Physician Assistant | William J Herron D.o P.C. | 1315 S Lynn Ln, Idabel, OK 74745-6845 |
| Street Address |
1315 S LYNN LN |
| City | IDABEL |
| State | OK |
| Zip | 74745-6845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Herron | Physician Assistant | William J Herron D.o P.C. | 1315 S Lynn Ln, Idabel, OK 74745-6845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darin Shupert | Optometry | 124 Seavenue N, Idabel, OK 74745 | |
| Maila A. Coleman | Pediatric Medicine | Kiamichi Family Medical Center Inc. | 601 Se Washington St, Idabel, OK 74745-3319 |
| William Martin | General Practice | Kiamichi Family Medical Center Inc. | 601 Se Washington St, Idabel, OK 74745-3319 |
| Beth L Leader | General Practice | Kiamichi Family Medical Center Inc. | 601 Se Washington St, Idabel, OK 74745-3319 |
| Thomas A Jones | Family Practice | Kiamichi Family Medical Center Inc. | 601 Se Washington St, Idabel, OK 74745-3319 |
| Kerri Lea Seymour | Nurse Practitioner | 805 Se Washington St, Idabel, OK 74745-3331 | |
| Gary Mitchell Seymour | Nurse Practitioner | Stathealth Clinic Gary Seymour, Arnp Nurse Practitioner | 805 Se Washington St, Idabel, OK 74745-3331 |
| Eric L Ensley | Chiropractic | 1420 Se Washington, Idabel, OK 74745-3448 | |
| Scott M Grigory | Pediatric Medicine | 1 W Main St, 100 My Doctor Pediatrics, Idabel, OK 74745-4655 | |
| Jane M Harmon | Nurse Practitioner | 108 S Central Ave, Idabel, OK 74745-4848 | |
| Find all physicians in zip 74745 | |||
| City | IDABEL |
| Zip Code | 74745 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | IDABEL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on William J Herron.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.