NPIMap

Organization Active NPI

Medok Mustang, LLC

  • Urgent Care Clinic/Center
  • Yukon, OK
National Provider Identifier
1831553817
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDOK MUSTANG, LLC
Practice address
1616 S Mustang Rd
Yukon, OK 73099-0304
Phone
(405) 256-0501
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Derrick Freeman, DONPI 1982682936
Title
Owner
Phone
(405) 256-0501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Medical Specialty Clinic/Center 261QM2500X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1616 S Mustang Rd
Yukon, OK 73099-0304

Mailing address

1616 S Mustang Rd
Yukon, OK 73099-0304
Phone (405) 256-0501

Other practice location 1

12000 Charleston Way
Yukon, OK 73099-9587
Phone (405) 883-1119

Other practice location 2

2804 SW 134th St
Oklahoma City, OK 73170-5474
Phone (405) 675-8608

Other names 1

  • Premier Plus Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160620000655 OK Part B Supplier - Clinic/Group Practice 7810288032 Receives reassigned benefits from 19 practitioners
Practice locations: Oklahoma City, OK; Yukon, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2109478Premier Plus Urgent Care1616 S Mustang Road, Yukon, OK 73099ComplianceAug 20, 2027

National Provider Directory

National Provider Directory

Locations

2804 SW 134th St
Oklahoma City, OK 73170
Phone (405) 675-8608

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1831553817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990304",
            "telephone_number": "405-256-0501",
            "fax_number": "405-265-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990304",
            "telephone_number": "405-256-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 Charleston Way",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730999587",
            "country_code": "US",
            "telephone_number": "405-883-1119",
            "fax_number": "405-883-1135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 SW 134th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731705474",
            "country_code": "US",
            "telephone_number": "405-675-8608",
            "fax_number": "405-676-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDOK MUSTANG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-256-0501",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Plus Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.