Gastorf Family Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GASTORF FAMILY CLINIC PC

Practice address

1004 N 19TH Ave BLDG 2
Durant, OK 74701-3017

Phone

(580) 931-9135

Fax

(580) 931-9161

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Gastorf, DO

Title

Owner

Phone

(580) 931-9135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962432625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N 19TH AVE BLDG 2",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013017",
            "telephone_number": "580-931-9135",
            "fax_number": "580-931-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N 19TH AVE BLDG 2",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013017",
            "telephone_number": "580-931-9135",
            "fax_number": "580-931-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTORF FAMILY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GASTORF",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-931-9135",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeana Garcia
• Kayla Louise Garrett
• Steven Paul Garrett
• Willow Garrett
• Jennifer Diane Garrison
• Jeffrey Alan Gastorf, D.O.
• Melissa Ann Gastorf, D.O,
• Ruby Joyce Gay
• Genesis Healthcare, LLC
• Sandy George, M.D.

• Family Medicine Physician in Durant, OK
• Providers in Durant, 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 Aug 22, 2020; 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.