OrganizationActive
Medic-Aire of Tahlequah, Inc.
NPI 1376678508 · Durable Medical Equipment & Medical Supplies · Tulsa, OK
Provider details
- NPI number
- 1376678508
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Medic-Aire of Tahlequah, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Hiseley, Pres/Ceo(918) 453-9991
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5059 S Yale Ave
Tulsa, OK 74135-7010
Phone: (918) 270-1941
Fax: (918) 270-1961
Street-level locationGet directions
Mailing address
17900 S Muskogee Ave
Tahlequah, OK 74464-5494
Other names (DBA / former)
- Doing business as
- Medic-Aire of Tulsa
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2008-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.