Organization Active NPI

Gary L. Muncy M.D., P.C.

  • Family Medicine Physician
  • Safford, AZ
National Provider Identifier
1083713937
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AZ20267 Issued in AZ
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

Updated by the provider on Dec 14, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X AZ20267 AZ Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.