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

Tahlequah Medical Group LLC

Organization Family Medicine Physician · NPI 1881960771

Tahlequah Medical Group LLC is a Family Medicine Physician in Tahlequah, Oklahoma. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
5
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

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

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1881960771
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTahlequah Hospital Authority
Authorized official James Berry — Ceo · (918) 456-0641
NPI enumeratedMarch 26, 2012
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address1400 E Downing St, Tahlequah, OK 74464-3324

Other providers in Tahlequah