Integris Rural Health Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRIS RURAL HEALTH INC

Doing business as

Integris Canadian Valley Family Care Clinic

Practice address

1468 N Mustang Rd
Mustang, OK 73064-0000

Phone

(405) 376-1800

Fax

(405) 376-1856

NPI assigned

Aug 10, 2005

Last updated

Jan 2, 2012By 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

Jeffrey M Brown

Title

VP of Physician Practice Management

Phone

(580) 548-1367

Specialties & licenses 2

Addresses

Other names 1

• Integris Canadian Valley Family Care Clinic Doing business as

Locations

Practitioners 42

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
  NPD (past)
• Jose Maria Borrego Acosta, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1598807216
  NPD (past)
• Michelle L Bourne, PA-C

  • Physician Assistant
  • Norman, OK
  • NPI 1124027263
  NPD (past)
• John Daniel Buie, MD

  • Urology Physician
  • Oklahoma City, OK
  • NPI 1497379135
  NPD (past)
• Brittany Faith Cabrera, PA-C

  • Physician Assistant
  • Edmond, OK
  • NPI 1801168976
  NPD (past)
• Kathleen Elizabeth Combs, MD

  • Pediatrics Physician
  • Oklahoma City, OK
  • NPI 1417098344
  NPD (past)
• Taylor R Couch, M.D.

  • Pediatrics Physician
  • Miami, OK
  • NPI 1548656945
  NPD (past)
• Shannon Gale Davis, APRN CNP FAMILY

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1477838217
  NPD (past)
• Kelly M Dennis, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1386770246
  NPD (past)
• Michelle Lynn Graham, ARNP-C

  • Nurse Practitioner
  • Miami, OK
  • NPI 1285609248
  NPD (past)
• Joseph Gregory, APRN

  • Nurse Practitioner
  • Grove, OK
  • NPI 1891454062
  NPD (past)
• Janelle R Harding, APRN

  • Family Nurse Practitioner
  • Miami, OK
  • NPI 1801889597
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325462400000",
    "number": "1962403030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960033",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960033",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730640000",
            "telephone_number": "405-376-1800",
            "fax_number": "405-376-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS RURAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-01-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OF PHYSICIAN PRACTICE MANAGEMENT",
        "authorized_official_telephone_number": "580-548-1367"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integris Canadian Valley Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alysia Hudson
• Samantha Huggins
• Amy K Hughes, PA
• Carol Lynn Hurd, BSW
• I Care Immediate Care LLC (I Care Immediate Care)
• Keyshaan Jackson
• Jason T. Dobson, OD, PLLC
• Berlian Kasili Jeffery, DDS
• Bailey Jetton
• Joanna R. Owens Aprn-Crna, PLLC

• 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 Jan 2, 2012; 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.