Organization Active NPI

Nugenex Health LLC

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1730732116
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NUGENEX HEALTH LLC
Practice address
929 NW 164TH St # 342
Edmond, OK 73013-1002
Phone
(903) 401-1861
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Gary M Seymour, APRN-CNP
Title
Owner
Phone
(903) 401-1861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

929 NW 164TH St # 342
Edmond, OK 73013-1002

Mailing address

929 NW 164TH St # 342
Edmond, OK 73013-1002
Phone (903) 401-1861

National Provider Directory

National Provider Directory

Locations

929 NW 164th St
#342
Edmond, OK 73013
Phone (903) 401-1861

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1730732116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 NW 164TH ST # 342",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131002",
            "telephone_number": "903-401-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 NW 164TH ST # 342",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131002",
            "telephone_number": "903-401-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUGENEX HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-401-1861",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.