Mustang Family Physicians PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20242 Issued in OK

Legal business name

MUSTANG FAMILY PHYSICIANS PC

Practice address

206 N Mustang Mall Ter
Mustang, OK 73064-5135

Phone

(405) 256-6000

Fax

(405) 256-6001

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Gerald A Amundsen, M.D.NPI 1710989702

Title

President

Phone

(405) 256-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 6

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

• Gerald A Amundsen II, MD

  • Family Medicine Physician
  • Mustang, OK
  • NPI 1710989702
  Medicare reassignment NPD Authorized official
• Stacy Louise Fagan, P.A.

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1841444098
  Medicare reassignment
• Crystal Gail Kinzalow-Hardimon, APRN, FNP-C

  • Family Nurse Practitioner
  • Mustang, OK
  • NPI 1447851910
  NPD
• Patricia L Pappe

  • Family Nurse Practitioner
  • Mustang, OK
  • NPI 1821614637
  NPD
• Audrick Yee, DNP, APRN-CNP

  • Family Nurse Practitioner
  • Mustang, OK
  • NPI 1881178044
  NPD
• Monica L Halcomb, ARNP MS

  • Family Nurse Practitioner
  • Mustang, OK
  • NPI 1427048057
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1881891653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268945",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268945",
            "telephone_number": "405-256-6000",
            "fax_number": "405-256-6001"
        },
        {
            "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": "405-256-6000",
            "fax_number": "405-256-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "AMUNDSEN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-256-6000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mustang Chiropractic
• Mustang Counseling Services LLC
• Mustang Dentistry & Braces
• Mustang Drug LLC (Mustang Drug)
• Mustang Family Dental
• Mustang Foot & Ankle Clinic, LLC (Ankle and Foot clinics)
• Mustang Multispecialty Accociation
• Mustang Optical, Inc.
• Alayna Myers
• Narulas Healthcare LLC (Mustang Manor Assisted Living)

• 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 Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.