Active NPI
Gary L. Muncy M.D., P.C.
- Family Medicine Physician
- Safford, AZ
National Provider Identifier
1083713937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AZ20267
- Legal business name
- GARY L. MUNCY M.D., P.C.
- Practice address
- 2241 W 16TH St
Safford, AZ 85546-4048 - Phone
- (928) 348-1600
- Fax
- (928) 348-1603
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Charise Gardner
- Title
- Billing & Collections Manager
- Phone
- (928) 348-1601
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AZ20267 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | AP2357 | AZ |
Addresses
Primary practice location
2241 W 16TH St
Safford, AZ 85546-4048
Mailing address
2241 W 16TH St
Safford, AZ 85546-4048
Phone (928) 348-1600
National Provider Directory
National Provider DirectoryLocations
2241 W 16th St
Safford, AZ 85546
Phone (602) 348-2151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1083713937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 W 16TH ST",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464048",
"telephone_number": "928-348-1600",
"fax_number": "928-348-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 W 16TH ST",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464048",
"telephone_number": "928-348-1600",
"fax_number": "928-348-1603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY L. MUNCY M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "CHARISE",
"authorized_official_title_or_position": "BILLING & COLLECTIONS MANAGER",
"authorized_official_telephone_number": "928-348-1601",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "AZ20267",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP2357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.