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TAHLEQUAH FAMILY MEDICINE CLINIC
NPI 1144633041
Clinic/Center - Primary Care in Tahlequah, OK

Active since June 09, 2014
204 WOODLAWN AVE, TAHLEQUAH, OK 74464(918) 456-8000 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tahlequah Family Medicine Clinic NPPES

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

TAHLEQUAH FAMILY MEDICINE CLINIC (NPI 1144633041) is a healthcare organization registered as a primary care in Tahlequah, Oklahoma and active in the NPI registry since June 2014. The organization lists Larry Dean Sumner, Physician, as its authorized official.

NPPES Registry Identity

NPI1144633041
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTAHLEQUAH FAMILY MEDICINE CLINIC
Location Address204 WOODLAWN AVETahlequah, OK 74464-3318
Mailing Address101 Tommye LnTahlequah, OK 74464-4173 · (918) 456-8000
Phone(918) 456-8000
Organization SubpartNo
Authorized OfficialLarry Dean SumnerPhysician · (918) 456-8000
Enumeration DateJune 9, 2014
✔ NPI 1144633041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OK · 14708
204 WOODLAWN AVE, Tahlequah, OK 74464
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Other Identifiers 1

Other100124340BOK · Soonercare

Other Providers at the Same Location NPPES

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

DR. LARRY DEAN SUMNER M.D.
Family Medicine (Adult Medicine)
204 WOODLAWN AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 456-8000

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 Tahlequah Family Medicine Clinic's NPI number?

The NPI number for Tahlequah Family Medicine Clinic is 1144633041. It was assigned to this organization in the NPPES registry on June 9, 2014.

Where is Tahlequah Family Medicine Clinic located?

Tahlequah Family Medicine Clinic is located at 204 Woodlawn Ave, Tahlequah, OK 74464. The listed phone number is (918) 456-8000.

What is Tahlequah Family Medicine Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Tahlequah Family Medicine Clinic was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.