Devon Jessica Muncy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1493 Issued in OK

Practice address

2100 W Iowa Ave
Chickasha, OK 73018-2736

Phone

(405) 224-2100

Fax

(405) 779-2365

NPI assigned

May 22, 2006

Last updated

Mar 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmuncy@direct.gradymem.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grady Memorial Hospital

  dba Anesthesia Services

  • Anesthesiology Physician
  • Chickasha, OK
  • NPI 1750370268
  Medicare reassignment NPD (past)
• Grady Memorial Hospital

  • General Acute Care Hospital
  • Chickasha, OK
  • NPI 1538169198
  NPD
• Grady Memorial Hospital

  dba Five Oaks Medical Group

  • Clinic/Center
  • Chickasha, OK
  • NPI 1659302115
  NPD
• Grady Memorial Hospital

  dba Tuttle Family Medical Clinic

  • Rural Health Clinic/Center
  • Tuttle, OK
  • NPI 1750715439
  NPD
• Grady Memorial Hospital

  dba Five Oaks Family Medical Clinic

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1164859260
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1285688325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCY",
        "first_name": "DEVON",
        "middle_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000758810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Morris
• Mosley Family Investments LLC (Armor Physical Therapy)
• Mattilyn Reeder Mosley, DPT
• Dewey Mossart
• Charles John Mountain
• N&R of Chickasha, LLC (Shanoan Springs Residence)
• Sibin Nair, MD
• Brittany A. C. J. Napoleon, MSN, APRN, FNP-C
• Kindle Dawn Nelms, M.S. CF-SLP
• Andrew Nguyen

• Physician Assistant in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.