NORTHEASTERN HEALTH SYSTEM
NPI 1457574170
Emergency Medicine in Tahlequah, OK

NPI Status: Active since April 11, 2007

Contact Information

1400 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 456-0641
Fax: (918) 453-2341

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  • Organization
  • Emergency Medicine
  • Accepts Insurance

About NORTHEASTERN HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Northeastern Health System, a provider established in Tahlequah, Oklahoma operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1457574170 assigned on April 2007. The practitioner's primary taxonomy code is 207P00000X with license number 2178 (OK). The provider is registered as an organization and their NPI record was last updated May 2026. Northeastern Health System operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is James Berry (Ceo)

NPI
1457574170
Provider Legal Name
NORTHEASTERN HEALTH SYSTEM
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1400 E DOWNING ST TAHLEQUAH, OK 74464
Location Phone
(918) 456-0641
Location Fax
(918) 453-2341
Mailing Address
1400 E DOWNING ST TAHLEQUAH, OK 74464
Mailing Phone
(918) 456-0641
Mailing Fax
(918) 453-2341
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2007
Last Update Date
05-13-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
2178
License State
OK
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES BERRY

Authorized Official Title
CEO
Authorized Official Phone
(918) 456-0641

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100700680DMEDICAID (05)OK 

Reviews for NORTHEASTERN HEALTH SYSTEM

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457574170, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 0 + 7 + 8 + 1 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1457574170.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dietitian, Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Anesthesiology
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Surgery
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Pharmacist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Radiology (Diagnostic Radiology)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physical Therapist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physical Therapy Assistant
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Clinic/Center (Oncology, Radiation)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Family Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Speech-Language Pathologist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Speech-Language Pathologist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Clinic/Center (Oncology, Radiation)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Nurse Practitioner (Family)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Nurse Anesthetist, Certified Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physician Assistant (Medical)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Clinic/Center
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physical Therapist
1400 E DOWNING ST
TAHLEQUAH, OK 74464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457574170, enumerated as an "organization" on April 11, 2007.

The provider is located at 1400 E DOWNING ST TAHLEQUAH, OK 74464 and the phone number is (918) 456-0641.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.