Monty J Grugan, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4146 Issued in OK

Practice address

1301 E Lincoln Rd
Idabel, OK 74745-7300

Phone

(580) 208-3121

Fax

(580) 208-3193

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: monty.grugan.1@9147.direct.athenahealth.com
• Direct secure messaging: monty.grugan.1@17168.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Healing Touch Family Clinic, LLC

  • Health Service Clinic/Center
  • Idabel, OK
  • NPI 1326439266
  Medicare reassignment NPD
• Hospital Care Consultants Region II Inc

  • Internal Medicine Physician
  • West Memphis, AR
  • NPI 1558491449

  OK

  Medicare reassignment NPD
• McCurtain Family Medical Clinic

  • Family Medicine Physician
  • Broken Bow, OK
  • NPI 1588876973
  NPD (past)
• Neon Clinic Inc

  • Specialist
  • Durant, OK
  • NPI 1720033087
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1316907397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N BROADWAY ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747283933",
            "telephone_number": "580-208-3121",
            "fax_number": "580-208-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457300",
            "telephone_number": "580-208-3121",
            "fax_number": "580-208-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUGAN",
        "first_name": "MONTY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlain D Griffin
• Corey Griffin, M.S.
• Glenda Griffin, M.S.
• Tristan Griffin, M.E.D
• Scott Martin Grigory, M.D.
• Jordyn L Guest, CCC-SLP
• Cheryl Hall
• Harborbend Counseling
• Latoria Hardage
• Lisa Hardaway

• Family Medicine Physician in Idabel, OK
• Providers in Idabel, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.