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EASTSIDE CLINIC
NPI 1023295193
Family Medicine in Tahlequah, OK

Active since January 30, 2008
22408 HIGHWAY 51, TAHLEQUAH, OK 74464(918) 456-6250(918) 456-4080 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Clinic NPPES

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

EASTSIDE CLINIC (NPI 1023295193) is a healthcare organization registered as a family medicine in Tahlequah, Oklahoma and active in the NPI registry since January 2008. The organization lists James Mark Seratt, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1023295193
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEASTSIDE CLINIC
Location Address22408 HIGHWAY 51Tahlequah, OK 74464-2058
Mailing AddressPo Box 59Tahlequah, OK 74465-0059 · (918) 456-6250 · Fax (918) 456-4080
Phone(918) 456-6250
Fax(918) 456-4080
Organization SubpartYes
Authorized OfficialJames Mark SerattOwner/doctor · (918) 456-6250
Enumeration DateJanuary 30, 2008
Last NPPES UpdateJuly 28, 2008
✔ NPI 1023295193 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 · 15674
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.
22408 HIGHWAY 51, Tahlequah, OK 74464
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Other Identifiers 5

Medicare PIN800522162OK
OtherC95468OK · Upin
Other4111208OK · Aetna
Medicaid110118510AOK
Other445569081002OK · Bluecross And Blueshield

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

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.

ADRIAN UNGER APRN
Nurse Practitioner (Family)
22408 HIGHWAY 51
TAHLEQUAH, OK 74464
Cherokee County (918) 456-6250
JAMES MARK SERATT MD
Family Medicine
22408 HIGHWAY 51
TAHLEQUAH, OK 74464
Cherokee County (918) 456-6250

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 Eastside Clinic's NPI number?

The NPI number for Eastside Clinic is 1023295193. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Eastside Clinic located?

Eastside Clinic is located at 22408 Highway 51, Tahlequah, OK 74464. The listed phone number is (918) 456-6250.

What is Eastside Clinic'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 Eastside Clinic was last updated on July 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.