I Care Immediate Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

I CARE IMMEDIATE CARE LLC

Doing business as

I Care Immediate Care

Practice address

206 N Mustang Mall Ter
Mustang, OK 73064-5135

Phone

(405) 286-6000

Fax

(405) 286-6001

NPI assigned

Jun 5, 2008

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Amundsen II, M.D.NPI 1710989702

Title

Medical Director

Phone

(405) 286-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• I CARE IMMEDIATE CARE Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald A Amundsen II, MD

  • Family Medicine Physician
  • Mustang, OK
  • NPI 1710989702
  Authorized official Same address or phone
• Brent Keith Holliman, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1447297296
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1790944775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MUSTANG MALL TER",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730645135",
            "telephone_number": "405-286-6000",
            "fax_number": "405-286-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MUSTANG MALL TER",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730645135",
            "telephone_number": "405-286-6000",
            "fax_number": "405-286-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE IMMEDIATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "AMUNDSEN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-286-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PENDING",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I CARE IMMEDIATE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy K Hughes, PA
• Carol Lynn Hurd, BSW
• Integris Rural Health Inc (Integris Canadian Valley Family Care Clinic)
• Keyshaan Jackson
• Jason T. Dobson, OD, PLLC
• Berlian Kasili Jeffery, DDS
• Bailey Jetton

• Family Medicine Physician in Mustang, OK
• Providers in Mustang, 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 Sep 24, 2008; 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.