GARY MUNDY MD LLC
NPI 1245459775
Family Medicine in Sheridan, WY

Active since April 24, 2007
1955 COFFEEN AVE, SHERIDAN, WY 82801(307) 673-7560 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary Mundy Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY MUNDY MD LLC (NPI 1245459775) is a healthcare organization registered as a family medicine in Sheridan, Wyoming and active in the NPI registry since April 2007. The organization lists Gary D Mundy, Owner, as its authorized official.

NPPES Registry Identity

NPI1245459775
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGARY MUNDY MD LLC
Location Address1955 COFFEEN AVESheridan, WY 82801-5713
Mailing Address1955 Coffeen AveSheridan, WY 82801-5713 · (307) 673-7560
Organization SubpartNo
Authorized OfficialGary D MundyOwner · (307) 673-7560
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1245459775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WY · 5258A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1955 COFFEEN AVE, Sheridan, WY 82801

Other Identifiers 2

Other304445WY · Blue Cross
OtherDC7593WY · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1955 COFFEEN AVE
SHERIDAN, WY 82801
Family Medicine
1955 COFFEEN AVE
SHERIDAN, WY 82801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Mundy MD LLC's NPI number?

The NPI number for Gary Mundy MD LLC is 1245459775. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Gary Mundy MD LLC located?

Gary Mundy MD LLC is located at 1955 Coffeen Ave, Sheridan, WY 82801. The listed phone number is (307) 673-7560.

What is Gary Mundy MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gary Mundy MD LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.