| Mr Michael Lashane Holt, APRN | |
|
1400 E Downing St, Tahlequah, OK 74464-3324 | |
| (918) 458-2444 | |
| Not Available |
| Full Name | Mr Michael Lashane Holt |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Addiction Medicine |
| Location | 1400 E Downing St, Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629728464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 205318 (Oklahoma) | Primary |
| Entity Name | Northeastern Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
| Entity Name | Tahlequah Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881960771 PECOS PAC ID: 4082861349 Enrollment ID: O20120822000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Lashane Holt, APRN 11024 W 835 Rd, Fort Gibson, OK 74434-6340 Ph: (918) 616-1111 | Mr Michael Lashane Holt, APRN 1400 E Downing St, Tahlequah, OK 74464-3324 Ph: (918) 458-2444 |
Sylvia Soto, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3115 | |
Shawn Scarberry Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-4100 Fax: 539-234-4101 | |
Dr. Sharon C Smallwood, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3610 | |
David Ryan Markes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Rebecca C Lewis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17611 South Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-4911 Fax: 918-458-6221 | |
Dr. Kendall Harris, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Dr. Owen Buck Gilmore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 |