MEDICARE: JOEL HERDZINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1013694314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL HERDZINA

Provider Business Mailing Address
First Line	:	540 E MEMORIAL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-2215
Country	:	US
Telephone Number	:	405-810-6822
Fax Number	:	405-810-6824

Provider Business Practice Location Address
First Line	:	540 E MEMORIAL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-2215
Country	:	US
Telephone Number	:	405-810-6822
Fax Number	:	405-810-6824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	06/29/2023

Similar Medicare Providers

1770923005 — DR. JESSICA KEE HSIEH DDS, MDSC, FACP
Practice Location Address:

9400 BROADWAY EXTENSION SUITE 150
OKLAHOMA CITY, OK
73114-2215

Practice Phone: 405-467-9470
Practice Fax: 405-467-9471

1932886330 — MAGIS LLC
Practice Location Address:

540 E MEMORIAL RD
OKLAHOMA CITY, OK
73114-2215

Practice Phone: 405-810-6822
Practice Fax: 405-810-6824

1639621246 — CAREATC-OKC CARE
Practice Location Address:

424 COLCORD DR , SUITE A
OKLAHOMA CITY, OK
73102-2215

Practice Phone: 800-993-8244
Practice Fax:

1043993835 — MR. SYLVESTER GRANT JR.
Practice Location Address:

4905 S KATHY DR
OKLAHOMA CITY, OK
73135-2215

Practice Phone: 580-704-8995
Practice Fax:

1801891551 — DR. MICHAEL RICHARD HEE MD PHD
Practice Location Address:

1850 SULLIVAN AVE , STE 540
DALY CITY, CA
94015-2215

Practice Phone: 650-755-6900
Practice Fax: 650-755-2107

1891791133 — DR. BERND MICHAEL KUTZSCHER M.D.
Practice Location Address:

1850 SULLIVAN AVE , STE 540
DALY CITY, CA
94015-2215

Practice Phone: 650-755-6900
Practice Fax: 650-755-2107

Directions to “ JOEL HERDZINA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.