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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Eastside Clinic

Family Medicine Physician in Tahlequah, OK · enumerated 2008 · authorized official James Seratt, Owner/Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023295193

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Registry record

Entity type Organization (Type 2)
Legal business name Eastside Clinic
Parent organization Eastside Clinic
Practice address 22408 Highway 51, Tahlequah, OK, 74464
Fax (918) 456-4080
Enumeration date Jan 30, 2008
Last updated in NPPES Jul 28, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 15674 (OK) Primary

Authorized official

Name James Seratt
Title Owner/Doctor

Other identifiers

Identifier Type State Issuer
4111208 Other OK AETNA
C95468 Other OK UPIN
110118510A Medicaid OK -
445569081002 Other OK BLUECROSS AND BLUESHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Eastside Clinic?
Eastside Clinic is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-28.