Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Livewell Healthcare

Organization Physician Assistant · NPI 1558258285

Livewell Healthcare is a Physician Assistant in Tahlequah, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

205 Harris Cir Ste 102
Tahlequah, OK 74464-8849
Phone: (719) 214-0270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558258285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Morgan — Ceo · (719) 214-0270
NPI enumeratedJune 24, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing addressPo Box 688, Stilwell, OK 74960-0688

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