OrganizationActive
Medic-Aire of Tahlequah, Inc.
NPI 1720175292 · Oxygen Equipment & Supplies (DME) · Tahlequah, OK
Provider details
- NPI number
- 1720175292
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Jon Hiseley, President and Ceo(918) 453-9991
- License
- N/A (OK)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 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
17900 Muskogee Avenue
Tahlequah, OK 74464-5494
Phone: (918) 453-9991
Street-level locationGet directions
Mailing address
17900 S Muskogee Ave
Tahlequah, OK 74464-5494
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2008-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.