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

Northeastern Health System

Organization Emergency Medicine Physician · NPI 1457574170

Northeastern Health System is an Emergency Medicine Physician in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

1400 E Downing St
Tahlequah, OK 74464-3324
Phone: (918) 456-0641
Fax: (918) 453-2341
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2178 (OK)

Record details

NPI number1457574170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Berry — Ceo · (918) 456-0641
Other names Tahlequah Hospital Authority
NPI enumeratedApril 11, 2007
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address1400 E Downing St, Tahlequah, OK 74464-3324

Other providers in Tahlequah