Keetoowah Healthcare Services, LLC
NPI 1417802224 · Family Medicine Physician · Tahlequah, OK
Keetoowah Healthcare Services, LLC is a Family Medicine Physician organization in Tahlequah, OK (NPI 1417802224).
Provider details
- NPI number
- 1417802224
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fredo Anderson, Executive(918) 395-6699
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-02-27
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Frequently asked questions
- What is Keetoowah Healthcare Services, LLC's NPI number?
- Keetoowah Healthcare Services, LLC's National Provider Identifier (NPI) is 1417802224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keetoowah Healthcare Services, LLC?
- Keetoowah Healthcare Services, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Keetoowah Healthcare Services, LLC located?
- Keetoowah Healthcare Services, LLC's practice location on file with NPPES is 16414 W 760 Rd, Tahlequah, OK 74464-1675.
- What is Keetoowah Healthcare Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Keetoowah Healthcare Services, LLC is (918) 525-9595.
- Who is the authorized official for Keetoowah Healthcare Services, LLC?
- The authorized official listed on Keetoowah Healthcare Services, LLC's NPPES record is Fredo Anderson, Executive. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keetoowah Healthcare Services, LLC's NPI active?
- Yes — Keetoowah Healthcare Services, LLC's NPI (1417802224) is active in the NPPES registry as of the last update on 2026-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.