TAHLEQUAH FAMILY MEDICINE CLINIC


Address: 204 Woodlawn Ave, Tahlequah, OK 74464-3318
Phone: 9184568000

TAHLEQUAH FAMILY MEDICINE CLINIC (NPI# 1144633041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144633041
Entity Type Organization
Organization Name TAHLEQUAH FAMILY MEDICINE CLINIC
Practice Address 204 Woodlawn Ave
Tahlequah
OK 74464-3318
Mailing Address 101 Tommye Ln
Tahlequah
OK 74464-4173
Practice Telephone 9184568000
Mailing Telephone 9184568000
Enumeration Date 2014-06-09
Last Update Date 2014-06-09
Authorized Official Name DR. LARRY DEAN SUMNER (PHYSICIAN)
Authorized Official Telephone 9184568000
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
14708 OK Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK SOONERCARE 100124340B 01

Office Location

Street Address 204 WOODLAWN AVE
City TAHLEQUAH
State OK
Zip Code 74464-3318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699761981 Larry Dean Sumner Family Medicine 204 Woodlawn Ave, Tahlequah, OK 74464-3318 2005-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184253403 Kendall Harris Student in an Organized Health Care Education/Training Program 100 Bliss Ave, Tahlequah, OK 74464 2020-04-07
1528609302 Norma Brightly Technician 103 Sequoyah, Tahlequah, OK 74464 2019-10-03
1073175832 Jody Lynn Dallis Case Manager/Care Coordinator Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 2019-07-02
1184287849 Perry Jake Proctor Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 2019-04-18
1336657279 Sidney Sheyenne Kimble Case Manager/Care Coordinator 1429 Jack Brown Lane, Tahlequah, OK 74464 2018-01-12
1891225686 Nichols Bradley Alberty Orthotist 1294 East Downing, Suite 3, Tahlequah, OK 74464 2017-06-14
1922549690 Krystal Easter Ms, Lpc Counselor 2201 Oakridge Dr, Tahlequah, OK 74464 2017-03-15
1144777319 Northeastern Oklahoma Community Health Centers, Inc. Clinic/Center 529 N. Oak St., Tahlequah, OK 74464 2016-09-06
1548713456 Clement Isioma Nwadozi Optometrist 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 2016-07-27
1033532635 Wesley Gragg Specialist/Technologist 603 North Grand Avenue, Tahlequah, OK 74464 2014-02-03
Find all providers in zip 74464

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861888083 Docfell Medical LLC Clinic/Center 26043 S 505 Rd, Tahlequah, OK 74464-8106 2015-04-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609476654 Team Clinic Management Partners LLC Clinic/Center 372 N Cobb, Caney, OK 74533 2020-10-29
1184222705 Essential Md, Pllc Clinic/Center 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 2020-10-15
1881292191 Team Clinic Management Partners LLC Clinic/Center 3100 W New Orleans St, Broken Arrow, OK 74011-1468 2020-10-09
1972115392 Team Clinic Management Partners LLC Clinic/Center 225 E Omaha St, Broken Arrow, OK 74012-1761 2020-08-18
1093327413 Team Clinic Management Partners LLC Clinic/Center 301 W New Orleans St, Broken Arrow, OK 74011-2206 2020-08-18
1962013110 Team Clinic Management Partners LLC Clinic/Center 4300 E Gary Street, Broken Arrow, OK 74014 2020-08-12
1750992038 Team Clinic Management Partners LLC Clinic/Center 251 E Omaha St, Broken Arrow, OK 74012-1761 2020-08-11
1689285975 Team Clinic Management Partners LLC Clinic/Center 301 E Tucson St, Broken Arrow, OK 74011-7235 2020-08-11
1417568700 Team Clinic Management Partners LLC Clinic/Center 1351 E Albany St, Broken Arrow, OK 74012-8995 2020-08-11
1164033569 Team Clinic Management Partners LLC Clinic/Center 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 2020-08-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City TAHLEQUAH
Zip Code 74464

Improve Information

Please comment or provide details below to improve the information on TAHLEQUAH FAMILY MEDICINE CLINIC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches