NORTHEASTERN HEALTH SYSTEM
NPI 1457574170
Emergency Medicine in Tahlequah, OK

NPI Status: Active since April 11, 2007

Contact Information

1400 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 456-0641

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  • Organization
  • Emergency Medicine
  • Accepts Insurance

About NORTHEASTERN HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Northeastern Health System, a provider established in Tahlequah, Oklahoma operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1457574170 assigned on April 2007. The practitioner's primary taxonomy code is 207P00000X with license number 2178 (OK). The provider is registered as an organization and their NPI record was last updated 11 years ago. Northeastern Health System operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Tahlequah Hospital Authority. The authorized official of this NPI record is Brian Woodliff (Ceo)

NPI
1457574170
Provider Legal Name
NORTHEASTERN HEALTH SYSTEM
Other Organization Name
TAHLEQUAH HOSPITAL AUTHORITY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1400 E DOWNING ST TAHLEQUAH, OK 74464
Location Phone
(918) 456-0641
Mailing Address
PO BOX 1008 TAHLEQUAH, OK 74465
Mailing Phone
(918) 456-0641
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2007
Last Update Date
08-06-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
2178
License State
OK
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN WOODLIFF

Authorized Official Title
CEO
Authorized Official Phone
(918) 456-0641

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
T37008901MEDICARE ID-TYPE UNSPECIFIED (04)OKPHYSICIAN GROUP
100700680DMEDICAID (05)OK 

Reviews for NORTHEASTERN HEALTH SYSTEM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457574170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241071078114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 0 + 7 + 8 + 1 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1457574170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508852682MS. LINDA CATHLEEN OLIVER C.R.N.A.
Individual
Registered Nurse1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-2112
1811092729 ANN LOIS FLADIE R.D., L.D.
Individual
Dietitian, Registered1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 453-2266
1154418507MS. MARY ADELE KING D.O.
Individual
Anesthesiology1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1134204852DR. WILLIAM JACK MYERS JR. D.O
Individual
Surgery1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1275695884DR. WILLIAM RAY POTTS D. PH.
Individual
Pharmacist1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 453-2355
1710102728TCH RADIOLOGY PLLC
Organization
Radiology (Diagnostic Radiology)1400 E DOWNING ST
TAHLEQUAH, OK 74464
(281) 359-7788
1235327776MRS. SHARON LEA COX PT
Individual
Physical Therapist1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 458-2410
1568650844MRS. CHRISTINA MARIE PAIT PTA
Individual
Physical Therapy Assistant1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 458-2404
1326218033EASTERN OKLAHOMA RADIATION ONCOLOGY
Organization
Clinic/Center (Oncology, Radiation)1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1083947378TAHLEQUAH CITY HOSPITAL
Organization
General Practice1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1801171590 KATHRYN HUGHES D.O.
Individual
Family Medicine1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1881960771TAHLEQUAH MEDICAL GROUP LLC
Organization
Family Medicine1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1265797286MS. JESSICA RENEE ROADY M.S., CCC-SLP
Individual
Speech-Language Pathologist1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 457-8036
1619031465NORTHEASTERN HEALTH SYSTEM
Organization
Psychiatric Unit1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1528122371NORTHEASTERN HEALTH SYSTEM
Organization
Rehabilitation Unit1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1871717819NORTHEASTERN HEALTH SYSTEM
Organization
Ambulance (Land Transport)1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1316330293 TYLER TAIT
Individual
Student in an Organized Health Care Education/Training Program1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 458-2406
1194102400 JESSICA KEYS M.S., CCC-SLP
Individual
Speech-Language Pathologist1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 458-1883
1124088661 MUHAMMAD GHIAS MD
Individual
Emergency Medicine (Emergency Medical Services)1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641
1992978019NORTHEAST OKLAHOMA CANCER CENTER LLC
Organization
Clinic/Center (Oncology, Radiation)1400 E DOWNING ST
TAHLEQUAH, OK 74464
(918) 456-0641

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457574170, enumerated in the NPI registry as an "organization" on April 11, 2007

The provider is located at 1400 E Downing St Tahlequah, Ok 74464 and the phone number is (918) 456-0641

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.