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WARREN CLINIC MEDICAID GROUP 100739490B
NPI 1316105703
General Practice in Tulsa, OK

Active since June 02, 2008
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136(918) 488-6001 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Warren Clinic Medicaid Group 100739490b NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARREN CLINIC MEDICAID GROUP 100739490B (NPI 1316105703) is a healthcare organization registered as a general practice in Tulsa, Oklahoma and active in the NPI registry since June 2008. The organization lists Cathey Duplissey, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1316105703
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWARREN CLINIC MEDICAID GROUP 100739490B
Location Address6600 S YALE AVE, SUITE 1400Tulsa, OK 74136-3310
Mailing Address6600 S Yale Ave, Suite 1400Tulsa, OK 74136-3310
Phone(918) 488-6001
Organization SubpartYesParent: Warren Clinic
Authorized OfficialCathey DuplisseyCredentialing Coordinator · (918) 488-6687
Enumeration DateJune 2, 2008
Last NPPES UpdateDecember 13, 2018
✔ NPI 1316105703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6600 S YALE AVE, Tulsa, OK 74136
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Other Identifiers 1

Medicaid100739490BOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN HALBROOK C.S.F.A
Specialist/Technologist, Other (Surgical Assistant)
6600 S YALE AVE, SUITE 500
TULSA, OK 74136
Tulsa County (918) 855-3721
CHARLES BLAGOVICH
Nurse Practitioner (Family)
6600 S YALE AVE
TULSA, OK 74136
Tulsa County (740) 505-7569
GERARD J MCNULTY M.D.
Internal Medicine
6600 S YALE AVE, STE 900
TULSA, OK 74136
Tulsa County (918) 481-4944
MICHAEL E MADDOX D.O.
Family Medicine
6600 S YALE AVE, STE 850
TULSA, OK 74136
Tulsa County (918) 481-7700
MELISSA R GRAY PT
Physical Therapist
6600 S YALE AVE, SUITE 200
TULSA, OK 74136
Tulsa County (918) 488-6888
CHRISTOPHER WAYNE ABSHERE MD
Family Medicine
6600 S YALE AVE, STE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001
DR. MOUTASIM HOMOD AL-SHAER M. D.
Hospitalist
6600 S YALE AVE, SUITE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001
WARREN CLINIC INC
General Practice
6600 S YALE AVE, SUITE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Warren Clinic Medicaid Group 100739490B's NPI number?

The NPI number for Warren Clinic Medicaid Group 100739490B is 1316105703. It was assigned to this organization in the NPPES registry on June 2, 2008.

Where is Warren Clinic Medicaid Group 100739490B located?

Warren Clinic Medicaid Group 100739490B is located at 6600 S Yale Ave Suite 1400, Tulsa, OK 74136. The listed phone number is (918) 488-6001.

What is Warren Clinic Medicaid Group 100739490B's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Warren Clinic Medicaid Group 100739490B was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.