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NORTHEAST OKLAHOMA WELLNESS CLINIC LLC
NPI 1568823938
Family Medicine in Tahlequah, OK

Active since March 14, 2016
1500 E DOWNING ST, TAHLEQUAH, OK 74464(918) 456-2594(918) 456-3395 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Oklahoma Wellness Clinic Llc NPPES

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

NORTHEAST OKLAHOMA WELLNESS CLINIC LLC (NPI 1568823938) is a healthcare organization registered as a family medicine in Tahlequah, Oklahoma and active in the NPI registry since March 2016. The organization lists Keven Partin, Owner, as its authorized official.

NPPES Registry Identity

NPI1568823938
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHEAST OKLAHOMA WELLNESS CLINIC LLC
Location Address1500 E DOWNING STTahlequah, OK 74464-3234
Mailing Address6312 E 101st StTulsa, OK 74137-7007 · (918) 893-6201 · Fax (918) 893-6202
Phone(918) 456-2594
Fax(918) 456-3395
Organization SubpartNo
Authorized OfficialKeven PartinOwner · (918) 893-6201
Enumeration DateMarch 14, 2016
✔ NPI 1568823938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1500 E DOWNING ST, Tahlequah, OK 74464
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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 17

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

NEOHEALTH OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Obstetrics & Gynecology
1500 E DOWNING ST, SUITE 208
TAHLEQUAH, OK 74464
Cherokee County (918) 456-2496
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 E DOWNING ST, SUITE 208
TAHLEQUAH, OK 74464
Cherokee County (918) 456-2496
TMC PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1500 E DOWNING ST, STE 106
TAHLEQUAH, OK 74464
Cherokee County (918) 456-8811
HEALTHCARE DINING SOLUTIONS, INC
Speech-Language Pathologist
1500 E DOWNING ST, STE 102
TAHLEQUAH, OK 74464
Cherokee County (918) 913-9109
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 E DOWNING ST, SUITE 214
TAHLEQUAH, OK 74464
Cherokee County (918) 431-0202
MR. HERBERT ROSCOE LITTLETON DO
Internal Medicine
1500 E DOWNING ST, STE 103
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0001
TYE WARD D.O.
Family Medicine
1500 E DOWNING ST, SUITE 214
TAHLEQUAH, OK 74464
Cherokee County (918) 431-0202
LORIE LILLIAN TRENTHAM APRN, CNP
Nurse Practitioner (Family)
1500 E DOWNING ST, SUITE 214
TAHLEQUAH, OK 74464
Cherokee County (918) 431-0202

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 Northeast Oklahoma Wellness Clinic LLC's NPI number?

The NPI number for Northeast Oklahoma Wellness Clinic LLC is 1568823938. It was assigned to this organization in the NPPES registry on March 14, 2016.

Where is Northeast Oklahoma Wellness Clinic LLC located?

Northeast Oklahoma Wellness Clinic LLC is located at 1500 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-2594.

What is Northeast Oklahoma Wellness Clinic LLC'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 Northeast Oklahoma Wellness Clinic LLC was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.