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TAHLEQUAH MEDICAL GROUP LLC
NPI 1881960771
Family Medicine in Tahlequah, OK

Active since March 26, 2012CLIA 37D1058618 · Microscopy
1400 E DOWNING ST, TAHLEQUAH, OK 74464(918) 456-0641(918) 453-2341 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 1, 2026, May 13, 2026 (2 updates tracked since 2026).

About Tahlequah Medical Group Llc NPPES

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

TAHLEQUAH MEDICAL GROUP LLC (NPI 1881960771) is a healthcare organization registered as a family medicine in Tahlequah, Oklahoma and active in the NPI registry since March 2012. The organization holds a CLIA Microscopy certificate valid through December 25, 2026 and lists James Berry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881960771
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTAHLEQUAH MEDICAL GROUP LLC
Location Address1400 E DOWNING STTahlequah, OK 74464-3324
Mailing Address1400 E Downing StTahlequah, OK 74464-3324 · (918) 456-0641 · Fax (918) 453-2341
Phone(918) 456-0641
Fax(918) 453-2341
Organization SubpartYesParent: Tahlequah Hospital Authority
Authorized OfficialJames BerryCeo · (918) 456-0641
Enumeration DateMarch 26, 2012
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1881960771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
1400 E DOWNING ST, Tahlequah, OK 74464
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 37D1058618

Tahlequah Medical Group Primary Care · Tahlequah, OK
Active · expires Dec 25, 2026
CLIA Number37D1058618
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorThomas Schneider
Laboratory Phone(918) 207-0991
Laboratory LocationTahlequah Medical Group Primary Care1201 E Ross Bypass, Tahlequah, OK 74464
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

NORTHEASTERN HEALTH SYSTEM
General Acute Care Hospital
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
MIDWEST HOSPITALISTS SERVICES PLLC
Hospitalist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
DR. THOMAS CHILTON FRUITS D.O.
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2406
STUART AUSTIN KOAKAI CANO DO
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
STEPHAN M YOST PA-C
Physician Assistant (Medical)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
TAHLEQUAH CITY HOSPITAL
General Practice
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
SETH STEWART SCANTLING
Nurse Anesthetist, Certified Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
ROSS P. TURNER D.O.
Internal Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641

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 Medical Group LLC's NPI number?

The NPI number for Tahlequah Medical Group LLC is 1881960771. It was assigned to this organization in the NPPES registry on March 26, 2012.

Where is Tahlequah Medical Group LLC located?

Tahlequah Medical Group LLC is located at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-0641.

What is Tahlequah Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Tahlequah Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D1058618) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tahlequah Medical Group LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Tahlequah Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tahlequah Medical Group LLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.