Eeg Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

7148 Issued in OK

Legal business name

EEG CORPORATION

Practice address

1400 E Downing
Tahlequah, OK 74465

Phone

(918) 743-4799

Fax

(918) 743-4167

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Harold Earl Goldman, MD

Title

President

Phone

(918) 743-4799

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194895441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54603",
            "address_2": "EEG CORPORATION HAROLD E GOLDMAN",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741550603",
            "telephone_number": "918-743-4799",
            "fax_number": "918-743-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E DOWNING",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74465",
            "telephone_number": "918-743-4799",
            "fax_number": "918-743-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EEG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-743-4799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "7148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS BCBS",
            "identifier": "046046",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK BCBS",
            "identifier": "028207163003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastside Clinic
• Echota Behavioral Health Services, LLC (Echota Behavioral Health- Tahlequah)
• Echota Behavioral Health Services, LLC (Echota Behavorial Health- Tahlequah)
• Amanda Edwards, LPC-S
• Coy Joe Edwards, M.D.
• Kathy Marie Elayyan
• Richard L. Eller
• Tamarie Ann Eller, DC
• David Clark Elliott, PHARMD
• Ann Peyton Ellis, LAT, ATC

• Neurology Physician in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.