WARREN CLINIC MEMORIAL SOUTH PEDIATRICS SOONERCARE GROUP (NPI# 1841458239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841458239 |
| Entity Type | Organization |
| Organization Name | WARREN CLINIC MEMORIAL SOUTH PEDIATRICS SOONERCARE GROUP |
| Practice Address |
6600 S Yale Ave Ste 1400 Tulsa OK 74136-3310 |
| Mailing Address |
8414 E 101st St Tulsa OK 74133-6919 |
| Practice Telephone | 9184886001 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | KATHY MASON (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9184886687 |
| Is Organization Subpart | Y |
| Parent Organization Name | WARREN CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100739490T | 05 |
| Street Address |
6600 S YALE AVE STE 1400 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348296 | Saint Francis Home Health Inc | Hospice Care, Community Based | 6600 S Yale Ave, Suite 350, Tulsa, OK 74136-3310 | 2005-07-07 |
| 1366041717 | Susan Wynkoop Roberts | Nurse Practitioner | 6600 S Yale Ave, Tulsa, OK 74136-3347 | 2020-10-17 |
| 1992232706 | Virginia Salach | Social Worker | 6600 S Yale Ave, Tulsa, OK 74136-3347 | 2017-05-11 |
| 1811444078 | Lyndsey Dawn Smith | Nurse Practitioner | 6600 S Yale Ave, Tulsa, OK 74136-3347 | 2016-09-06 |
| 1053763334 | Charles Blagovich | Nurse Practitioner | 6600 S Yale Ave, Tulsa, OK 74136-3347 | 2016-07-11 |
| 1043699747 | Kathleen Halbrook | Specialist/Technologist, Other | 6600 S Yale Ave, Suite 500, Tulsa, OK 74136-3347 | 2015-05-27 |
| 1962848846 | Ganna D Starkey | Nurse Practitioner | 6600 S Yale Ave, Suite 900, Tulsa, OK 74136-3347 | 2013-05-17 |
| 1437412087 | Candice Marie Meyer | Obstetrics & Gynecology | 6600 S Yale Ave, Suite 650, Tulsa, OK 74136-3347 | 2012-06-19 |
| 1700107109 | Mary Jane Smith | Nurse Practitioner | 6600 S Yale Ave, Suite 750, Tulsa, OK 74136-3347 | 2010-06-20 |
| 1073845921 | Justin Parschauer | Ophthalmology | 6600 S Yale Ave, Suite 800, Tulsa, OK 74136-3347 | 2010-02-03 |
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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 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1346660834 | Amber Lee Shipman | Pediatrics | 3516 E 31st Street South, Suite B, Tulsa, OK 74135 | 2014-04-23 |
| 1811239569 | Sara Mcdonald | Pediatrics | 1919 S Wheeling Ave Ste 304, Tulsa, OK 74104-5632 | 2013-03-20 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1588982219 | Mary Emlyn Garber Baird | Pediatrics | 4444 East 41st Street, Ou Pediatrics, Tulsa, OK 74135-2512 | 2010-05-05 |
| 1982859963 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 | 2008-11-18 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| 1437307550 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 | 2008-09-03 |
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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.