CHILDERS MEDICAL GROUP
NPI 1720274699
Otolaryngology in Tahlequah, OK

Active since September 24, 2007
1203 E ROSS BYP, SUITE A, TAHLEQUAH, OK 74464(918) 453-1234(918) 453-9107 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Childers Medical Group NPPES

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

CHILDERS MEDICAL GROUP (NPI 1720274699) is a healthcare organization registered as an otolaryngology in Tahlequah, Oklahoma and active in the NPI registry since September 2007. The organization lists Tracey W Childers, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1720274699
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameTRACEY W. CHILDERS, D.O. P.C.
Location Address1203 E ROSS BYP, SUITE ATahlequah, OK 74464-4188
Mailing Address1203 E Ross Byp, Suite ATahlequah, OK 74464-4133 · (918) 453-1234 · Fax (918) 453-9107
Fax(918) 453-9107
Organization SubpartNo
Authorized OfficialTracey W ChildersMedical Director · (918) 453-1234
Enumeration DateSeptember 24, 2007
Last NPPES UpdateSeptember 15, 2010
NPI 1720274699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OK · 3296
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1203 E ROSS BYP, Tahlequah, OK 74464

Other Names 1

Doing Business AsChilders Medical Group

Other Identifiers 2

Medicaid200000030AOK
Medicare PIN400522239OK

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 10

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

Physician Assistant
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Physician Assistant
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Family Medicine
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Physician Assistant (Medical)
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Physician Assistant (Medical)
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Otolaryngology
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Nurse Practitioner
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1203 E ROSS BYP
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 Tracey W. Childers, D.O. P.C.'s NPI number?

The NPI number for Tracey W. Childers, D.O. P.C. is 1720274699. It was assigned to this organization in the NPPES registry on September 24, 2007. The provider is doing business as Childers Medical Group.

Where is Tracey W. Childers, D.O. P.C. located?

Tracey W. Childers, D.O. P.C. is located at 1203 E Ross Byp Suite A, Tahlequah, OK 74464. The listed phone number is (918) 453-1234.

What is Tracey W. Childers, D.O. P.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Tracey W. Childers, D.O. P.C. was last updated on September 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.