WARREN CLINIC INC (NPI# 1073942975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073942975 |
| Entity Type | Organization |
| Organization Name | WARREN CLINIC INC |
| Practice Address |
6151 S Yale Ave Suite 1301 Tulsa OK 74136-1907 |
| Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3347 |
| Practice Telephone | 9185023200 |
| Mailing Telephone | 9184886001 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | CATHEY R DUPLISSEY (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9184886687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22448 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740564467 | Warren Clinic Inc | Durable Medical Equipment & Medical Supplies | 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 | 2011-09-29 |
| 1174582282 | Warren Clinic Inc | General Practice | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3310 | 2006-03-20 |
| Street Address |
6151 S YALE AVE SUITE 1301 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370401 | Charles William Mc Entee | Internal Medicine | 6151 S Yale Ave, Suite 304, Tulsa, OK 74136-1907 | 2005-07-14 |
| 1346799723 | Andrew Murray Thompson | Nurse Practitioner | 6151 S Yale Ave, Suite A-100, Tulsa, OK 74136-1907 | 2016-09-27 |
| 1730540584 | Matthew Jezik | Specialist/Technologist, Other | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2016-03-08 |
| 1902267750 | Tambra Sharrock | Specialist/Technologist, Other | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2016-03-08 |
| 1013386259 | Jasmine Thompson | Nurse Practitioner | 6151 S Yale Ave, Suite 1304, Tulsa, OK 74136-1907 | 2015-09-17 |
| 1801207493 | Carly Ann Dykstra Kubat | Pediatrics | 6151 S Yale Ave, Tulsa, OK 74136-1907 | 2014-05-16 |
| 1942630660 | Rebecca Wilton | Nurse Practitioner | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2013-11-15 |
| 1013351881 | Megan Elizabeth Renz | Nurse Practitioner | 6151 S Yale Ave, Suite A-100, Tulsa, OK 74136-1907 | 2013-04-24 |
| 1639410764 | Sheila L Hamilton | Nurse Practitioner | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2013-03-14 |
| 1063756708 | Jojin Angelo Mathews | Physician Assistant | 6151 S Yale Ave, Suite 1-301, Tulsa, OK 74136-1907 | 2012-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083918668 | Billy Paul Loughridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 S. Utica Ave, Tulsa, OK 74152-1057 | 2010-12-22 |
| 1245390863 | John Franco A Carabello | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave Ste 200, Tulsa, OK 74127-9047 | 2006-12-12 |
| 1962510438 | Osteopathic Cardiovascular Surg Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson #200, Tulsa, OK 74127-9047 | 2006-08-26 |
| 1740215292 | Robert Garrett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6465 S Yale Ave Ste 910, Tulsa, OK 74136-7823 | 2006-07-12 |
| 1619904513 | Michael R Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1265 S. Utica Ave., Ste. 105, Tulsa, OK 74104-4243 | 2006-06-27 |
| 1902262421 | Lp Dullye Management, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave, Suite 200, Tulsa, OK 74127-9015 | 2016-01-13 |
| 1629386529 | Vein Care Center of Oklahoma Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1-302, Tulsa, OK 74136-1907 | 2010-09-14 |
| 1922323146 | John Mark Weber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2010-03-30 |
| 1578715454 | George M Comas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1923 S Utica Ave Fl 5, Tulsa, OK 74104 | 2008-10-22 |
| 1003063173 | Peter Ungjo Baik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10109 E. 79th Street, Cancer Treatment Centers of America, Tulsa, OK 74133 | 2008-08-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.