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

Stone Bluff Medical, LLC

Organization Pain Medicine Physician · NPI 1942129663

Stone Bluff Medical, LLC is a Pain Medicine Physician in Tahlequah, Oklahoma. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2028 Mahaney Ave
Tahlequah, OK 74464-5783
Phone: (918) 992-6050
Fax: (833) 763-2349
Show map & directions

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

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1942129663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ian Kelley — Sole Member · (918) 633-0447
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address2028 Mahaney Ave, Tahlequah, OK 74464-5783

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