Om Tahlequah, Inc.

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

OM TAHLEQUAH, INC.

Practice address

3101 Chandler Rd
Suite 105
Muskogee, OK 74403-4954

Phone

(918) 682-1616

Fax

(918) 687-4448

NPI assigned

Aug 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David E Edwards

Title

Owner/President

Phone

(918) 682-1616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James M Nelson, O.D.

  • Optometrist
  • Muskogee, OK
  • NPI 1912948175
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437264587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CHANDLER RD",
            "address_2": "SUITE 105",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034954",
            "telephone_number": "918-682-1616",
            "fax_number": "918-687-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CHANDLER RD",
            "address_2": "SUITE 105",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034954",
            "telephone_number": "918-682-1616",
            "fax_number": "918-687-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM TAHLEQUAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "918-682-1616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dario A Oliphant, M.D., M.P.H.
• Darren Quincy Oliver, PRSS
• Andrew Russell Olshen, MD
• Carly Olzawski
• Om Imaging PLLC
• On Target Counseling & Wellness Services LLC
• Lonnie Orman, APRN
• Orpro Inc (OrPro Prosthetics & Orthotics)
• Orthopedic Center of Muskogee
• Monica Alexandra Ortiz-Pacurucu, MD

• Contractor in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Contractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.