| Christopher S Deloache, DO | |
|
1373 E. Boone St., Suite 3401, Tahlequah, OK 74464-3234 | |
| (918) 456-6848 | |
| (918) 456-1150 |
| Full Name | Christopher S Deloache |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 31 Years |
| Location | 1373 E. Boone St., Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104832179 | NPI | - | NPPES |
| 100256650B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 3349 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of East Oklahoma | Broken arrow, OK | Home health agency |
| Northeastern Health System | Tahlequah, OK | Hospital |
| Entity Name | Tahlequah Orthopedic Surgery Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780808980 PECOS PAC ID: 6002719820 Enrollment ID: O20040129000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher S Deloache, DO 1373 E. Boone St., Suite 3401, Tahlequah, OK 74464-3234 Ph: (918) 456-6848 | Christopher S Deloache, DO 1373 E. Boone St., Suite 3401, Tahlequah, OK 74464-3234 Ph: (918) 456-6848 |
Paul G Bizzle, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 327 Hickory Dr, Tahlequah, OK 74464 Phone: 918-453-0023 Fax: 918-453-0023 | |
Carl Joseph Depaula, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3360 Fax: 918-458-3511 |