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MUSTANG FAMILY PHYSICIANS PC
NPI 1881891653
Family Medicine in Mustang, OK

Active since June 27, 2007CLIA 37D1074157 · Waiver
206 N MUSTANG MALL TER, MUSTANG, OK 73064(405) 256-6000(405) 256-6001 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mustang Family Physicians Pc NPPES

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

MUSTANG FAMILY PHYSICIANS PC (NPI 1881891653) is a healthcare organization registered as a family medicine in Mustang, Oklahoma and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Gerald A Amundsen, President, as its authorized official.

NPPES Registry Identity

NPI1881891653
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMUSTANG FAMILY PHYSICIANS PC
Location Address206 N MUSTANG MALL TERMustang, OK 73064-5135
Mailing AddressPo Box 268945Oklahoma City, OK 73126-8945 · (405) 256-6000 · Fax (405) 256-6001
Phone(405) 256-6000
Fax(405) 256-6001
Organization SubpartNo
Authorized OfficialGerald A AmundsenPresident · (405) 256-6000
Enumeration DateJune 27, 2007
Last NPPES UpdateOctober 22, 2007
✔ NPI 1881891653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 20242
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.
206 N MUSTANG MALL TER, Mustang, OK 73064
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Other Identifiers 1

Medicare ID-Type UnspecifiedPENDINGOK

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1074157

Mustang Family Physicians, PC · Mustang, OK
Active · expires Sep 24, 2027
CLIA Number37D1074157
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorGerald Amundsen II, MD
Laboratory Phone(405) 256-6000
Laboratory LocationMustang Family Physicians, PC200 S Castlerock Lane, Mustang, OK 73064
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

PETER BULLOCK MD PC
Family Medicine
206 N MUSTANG MALL TER
MUSTANG, OK 73064
Canadian County (405) 256-6000
GERALD A AMUNDSEN II MD
Family Medicine
206 N MUSTANG MALL TER
MUSTANG, OK 73064
Canadian County (405) 256-6000
I CARE IMMEDIATE CARE LLC
Family Medicine
206 N MUSTANG MALL TER
MUSTANG, OK 73064
Canadian County (405) 286-6000
DEACONESS METROPOLITAN PHYSICIANS LLC
Family Medicine
206 N MUSTANG MALL TER
MUSTANG, OK 73064
Canadian County (405) 256-6000
LANE DRISKILL
Family Medicine
206 N MUSTANG MALL TER
MUSTANG, OK 73064
Canadian County (405) 353-3150

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 Mustang Family Physicians PC's NPI number?

The NPI number for Mustang Family Physicians PC is 1881891653. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Mustang Family Physicians PC located?

Mustang Family Physicians PC is located at 206 N Mustang Mall Ter, Mustang, OK 73064. The listed phone number is (405) 256-6000.

What is Mustang Family Physicians PC's specialty?

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

Does Mustang Family Physicians PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1074157) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mustang Family Physicians PC was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.