Organization Active NPI

Renal and Hypertension Institute of Northeast Oklahoma

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tahlequah, OK
National Provider Identifier
1144491853
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RENAL AND HYPERTENSION INSTITUTE OF NORTHEAST OKLAHOMA
Practice address
1607 S Muskogee Ave
Suite a
Tahlequah, OK 74464-5440
Phone
(918) 453-2121
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian Woodliff
Title
Board of Managers
Phone
(918) 453-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1607 S Muskogee Ave
Suite a
Tahlequah, OK 74464-5440

Mailing address

PO Box 1008
Tahlequah, OK 74465-1008
Phone (918) 453-2121

National Provider Directory

National Provider Directory

Locations

1607 S Muskogee Ave
Ste A
Tahlequah, OK 74464
Phone (918) 453-2121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1144491853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651008",
            "telephone_number": "918-453-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 S MUSKOGEE AVE",
            "address_2": "SUITE A",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645440",
            "telephone_number": "918-453-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL AND HYPERTENSION INSTITUTE OF NORTHEAST OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "WOODLIFF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BOARD OF MANAGERS",
        "authorized_official_telephone_number": "918-453-2263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.