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

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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: July 19, 2026.

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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, 2026

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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 37D1058618
Facility Type: Physician Office
Certificate Effective Date: December 26, 2024
Certificate Expiration Date: December 25, 2026
Laboratory Director: THOMAS SCHNEIDER
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Tahlequah Medical Group Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.