Northeastern Health System
NPI 1457574170ActiveOrganization· Emergency Medicine· Tahlequah, OK
Emergency Medicine in Tahlequah, Oklahoma, registered in NPPES in April 2007. The authorized official on file is James Berry, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457574170 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2007 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 2178 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
Other Emergency Medicine providers in Tahlequah
- 1124683578
- 1881147882
- 1114447984
- 1336178805
- 1598175309
- 1215028816
- 1376553040
- 1417058215
- 1003494972