AMUNDSEN, GERALD ARTHUR II - Licensee Information

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

AMUNDSEN, GERALD ARTHUR II

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	MUSTANG FAMILY PHYSICIANS PC 200 S CASTLEROCK LN MUSTANG OK 73064 Address last updated on 6/10/2024
Phone #:	(405) 256-6000
Fax #:	(405) 256-6001
County:	OKLAHOMA
License:	20242
Dated:	7/10/1997
Expires:	7/1/2025
Training Issued:	7/1/1996
Training Expires:	8/1/1997
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1996
CME Year:	2027

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	ABPS - Family Medicine
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional BlueChoice PPO BlueLincs HMO CIGNA HMO CIGNA PPO CommunityCare HMO, Inc Coventry Health Care National Network First Health Great West Healthcare Health Smart Preferred Care (HSPC) HealthChoice Humana ChoiceCare Pacificare Commercial HMO PacifiCare of Oklahoma, Inc Preferred Community Choice Prudential Health Care Plan, Inc Railroad Medicare SoonerCare HMO SoonerCare PPO Tyson Preferred Network (TPN) United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS Welcor/Sooner
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
MUSTANG FAMILY PHYSICIANS PC 200 S CASTLEROCK LN MUSTANG OK 73064 Phone #: (405) 256-6000 Fax #: (405) 256-6001	Mon: 6:00AM - 6:00PM Tue: 6:00AM - 6:00PM Wed: 6:00AM - 6:00PM Thu: 6:00AM - 6:00PM Fri: 8:00AM - 4:00PM Sat: Sun:
1106 E State Hwy 152 Mustang, OK 73064 Phone #: (405) 256-6021 Fax #: (2) 202-	Mon: 9:00AM - 5:00PM Tue: 9:00AM - 5:00PM Wed: 9:00AM - 5:00PM Thu: 9:00AM - 5:00PM Fri: 9:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
CAREY BARTNICKI	APRN	113552
WADE MICHAEL BITTLE	PA	1681
SHAWN BONILLA	APRN	68442
FABIAN GALLEGOS	APRN	106503
RAINA HAMLIN	APRN	82768
PAUL FREDRICK LOWE	PA	1886
KALEI MUNIZ	APRN	13355
PATRICIA PAPPE	APRN	87

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