LIVEWELL HEALTHCARE
NPI 1558258285
Physician Assistant in Tahlequah, OK

Active since June 24, 2025
205 HARRIS CIR STE 102, TAHLEQUAH, OK 74464(719) 214-0270 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Jun 24, 2025 (2 updates tracked since 2025).

About Livewell Healthcare NPPES

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

LIVEWELL HEALTHCARE (NPI 1558258285) is a healthcare organization registered as a physician assistant in Tahlequah, Oklahoma and active in the NPI registry since June 2025. The organization lists Jason Morgan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558258285
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameLIVEWELL HEALTHCARE
Location Address205 HARRIS CIR STE 102Tahlequah, OK 74464-8849
Mailing AddressPo Box 688Stilwell, OK 74960-0688 · (719) 214-0270
Organization SubpartNo
Authorized OfficialJason MorganCeo · (719) 214-0270
Enumeration DateJune 24, 2025
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1558258285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
205 HARRIS CIR STE 102, Tahlequah, OK 74464

Other Identifiers 1

Other1831176924OK · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
205 HARRIS CIR STE 102
TAHLEQUAH, OK 74464

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 Livewell Healthcare's NPI number?

The NPI number for Livewell Healthcare is 1558258285. It was assigned to this organization in the NPPES registry on June 24, 2025.

Where is Livewell Healthcare located?

Livewell Healthcare is located at 205 Harris Cir Ste 102, Tahlequah, OK 74464. The listed phone number is (719) 214-0270.

What is Livewell Healthcare's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Livewell Healthcare was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.