Dr. Todd K Pogue, DO
Psychiatry & Neurology, Psychiatry in Tahlequah, OK. Individual provider (NPI-1).
NPI number1083659635
StatusActive
Last updated in NPPESOct 22, 2019
Details
- NPI
- 1083659635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Todd K Pogue
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2006
- Last updated
- Oct 22, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 4110 | OK | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | CL0056 | NV | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | DO-03788 | IA | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MED-PHYS-LIC-78691 | MT | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | OC-0046 | ID | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 27016 | MS | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 66313 | MN | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 15992 | ND | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 19988 | NH | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 3863 | TN | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 11452352-1204 | UT | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 2098 | NE | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 05-42575 | KS | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | H88263 | MD | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | M8922 | TX |
Practice location
1325 E Boone StTahlequah, OK 74464-3361
Phone 918-207-4977
Mailing address
1325 E Boone StTahlequah, OK 74464-3361
Phone 918-207-4977
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatry Physician providers in Tahlequah, OK
- Harold M Ginzburg, M.D.NPI 1154483303
- Robert V Hensley, D.O.NPI 1831136407
- Deborah Sue Jennings, M.D.NPI 1548249964
- Heather Anne Jones, DONPI 1396107066
All 5 Psychiatry Physician providers in Tahlequah · All 1,444 providers in Tahlequah
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