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Deactivated NPI 1538224035 Deactivated / Inactive NPI Male Practitioner

Dr. Julio M Cagungun , MD

General Practice • Stroud, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Julio Cagungun has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 26, 2006
NPI Deactivation Date February 20, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Julio Cagungun, MD was a registered General Practice practicing in Stroud, OK. Throughout an active medical career spanning 11 years, Dr. Cagungun provided care at the practice location at 356110 E 930 RD until profile deactivation on 2017-02-20.

Practice Location & Contact Primary Location

Practice Address

356110 E 930 Rd

Stroud, OK 740795184

Telephone 9189689531
Fax 9189689057
Associated Practice Facility / Clinic
🏢 Sac & Fox Nation Facility NPI 1871663203

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Stroud, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Stroud, OK (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OK 13638

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Cierra Keffer

Peer Specialist

NPI 1003736349
Melissa Heuer , RD, LD

Dietitian, Registered

NPI 1013245638

Registered Dietitian, Licensed Dietitian

NPI 1043014301

REGISTEREDNURSE

NPI 1134114903
Dr. Thomas Henry , DPM

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1205836061

Doctor of Podiatric Medicine

Bethany Rollins , APRN, FNP-C

Nurse Practitioner - Family

NPI 1215282132

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated February 20, 2017

Record deactivated on February 20, 2017

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NPI Profile Deactivated February 17, 2017

Record deactivated on February 17, 2017

NPI Profile Active January 03, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2014

Registered at 356110 E 930 RD, STROUD, OK 740795184 (Tel: 9189689531)

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Updated Business Mailing Address January 03, 2014

Registered at 356110 E 930 RD, STROUD, OK 740795184 (Tel: 9189689531)

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Provider Name / Credentials Updated January 03, 2014

Recorded as JULIO CAGUNGUN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2014

General Practice (License #13638 in OK)

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Initial NPI Registration & Enumeration December 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538224035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2006
Last Update: January 03, 2014
Deactivation Date: February 20, 2017

Mailing Address

356110 E 930 Rd

Stroud, OK 740795184

Phone: 9189689531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.