TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC
NPI 1780808980
Specialist in Tahlequah, OK

Q: What is Tahlequah Orthopedic Surgery Services, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 12, 2007CLIA 37D2043216 · Accreditation

1373 E. BOONE ST., SUITE 3401, TAHLEQUAH, OK 74464(918) 456-6848(918) 456-1150 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tahlequah Orthopedic Surgery Services, Llc NPPES

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

TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC (NPI 1780808980) is a healthcare organization registered as a specialist in Tahlequah, Oklahoma and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through November 13, 2026 and lists Christopher Sarrett Deloache, Owner, as its authorized official.

NPPES Registry Identity

NPI1780808980

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameTAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC

Location Address1373 E. BOONE ST., SUITE 3401Tahlequah, OK 74464-3379

Mailing Address1373 E. Boone St., Suite 3401Tahlequah, OK 74464-3379 · (918) 456-6848 · Fax (918) 456-1150

Phone(918) 456-6848

Fax(918) 456-1150

Organization SubpartNo

Authorized OfficialChristopher Sarrett DeloacheOwner · (918) 456-6848

Enumeration DateApril 12, 2007

Last NPPES UpdateAugust 30, 2012

✔ NPI 1780808980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OK · 207X00000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1373 E. BOONE ST., Tahlequah, OK 74464

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Other Identifiers 4

Other448746259004OK · Blue Cross And Blue Shiel

Medicare NSC5296460001OK

Medicaid200076030AOK

Medicare PIN100522065OK

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 37D2043216

Tahlequah Orthopedic Surgery And Sports Medicine · Tahlequah, OK

Active · expires Nov 13, 2026

CLIA Number37D2043216

Laboratory TypePhysician Office

Certificate Effective DateNovember 14, 2024

Certificate Expiration DateNovember 13, 2026

Laboratory DirectorDr. David L. Bradshaw

Laboratory Phone(918) 486-6848

Laboratory LocationTahlequah Orthopedic Surgery And Sports Medicine1373 East Boone Street, Ste 3401, Tahlequah, OK 74464

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

CHRISTOPHER S DELOACHE D.O.

Orthopaedic Surgery

1373 E. BOONE ST., SUITE 3401
TAHLEQUAH, OK 74464

Cherokee County (918) 456-6848

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 Orthopedic Surgery Services, LLC's NPI number?

The NPI number for Tahlequah Orthopedic Surgery Services, LLC is 1780808980. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Tahlequah Orthopedic Surgery Services, LLC located?

Tahlequah Orthopedic Surgery Services, LLC is located at 1373 E. Boone St. Suite 3401, Tahlequah, OK 74464. The listed phone number is (918) 456-6848.

What is Tahlequah Orthopedic Surgery Services, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Tahlequah Orthopedic Surgery Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 37D2043216) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tahlequah Orthopedic Surgery Services, LLC was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.