Gennady Mushlin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L5066 Issued in TX

Practice address

149 Hart St
82 Medical Group
Sheppard Afb, TX 76311-3477

Phone

(940) 676-6855

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083688923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 CANYON TRAILS DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763092705",
            "telephone_number": "940-691-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HART ST",
            "address_2": "82 MEDICAL GROUP",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763113477",
            "telephone_number": "940-676-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHLIN",
        "first_name": "GENNADY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "22575",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Mark Mehlhaff, DDS
• Erica J Mendoza, LCSW
• Janel Montfort-Tunstall, MD
• Taylor J Morgan, PHARMD
• Rhonda Sneij Mursuli, DMD
• National Vision, Inc.
• Denis Joseph Nolan, PT, DPT, OCS
• Mark Alexander Novas, M.D.
• Rachel C Oakman
• Daniel J Oh, PHARMD, MBA, MHA

• Family Medicine Physician in Sheppard Afb, TX
• Providers in Sheppard Afb, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.