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WARREN CLINIC SAND SPRINGS SOONERCARE GROUP
NPI 1912165309
Pediatrics in Tulsa, OK

Active since June 02, 2008CLIA 37D0887112 · Waiver
6600 S YALE AVE, STE 1400, TULSA, OK 74136(918) 488-6001 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Warren Clinic Sand Springs Soonercare Group NPPES

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

WARREN CLINIC SAND SPRINGS SOONERCARE GROUP (NPI 1912165309) is a healthcare organization registered as a pediatrics in Tulsa, Oklahoma and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Kathy Mason, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1912165309
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWARREN CLINIC SAND SPRINGS SOONERCARE GROUP
Location Address6600 S YALE AVE, STE 1400Tulsa, OK 74136-3310
Mailing Address796 E Charles Page BlvdSand Springs, OK 74063-8507
Phone(918) 488-6001
Organization SubpartYesParent: Warren Clinic
Authorized OfficialKathy MasonCredentialing Coordinator · (918) 488-6687
Enumeration DateJune 2, 2008
✔ NPI 1912165309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
6600 S YALE AVE, Tulsa, OK 74136
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Other Identifiers 1

Medicaid100739490UOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0887112

Warren Clinic-Sand Springs · Sand Springs, OK
Active · expires Mar 4, 2028
CLIA Number37D0887112
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorDavid E. Wiegman
Laboratory Phone(918) 245-2286
Laboratory LocationWarren Clinic-Sand Springs102 South Main Street, Sand Springs, OK 74063
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sand Springs Soonercare Group's NPI number?

The NPI number for Warren Clinic Sand Springs Soonercare Group is 1912165309. It was assigned to this organization in the NPPES registry on June 2, 2008.

Where is Warren Clinic Sand Springs Soonercare Group located?

Warren Clinic Sand Springs Soonercare Group is located at 6600 S Yale Ave Ste 1400, Tulsa, OK 74136. The listed phone number is (918) 488-6001.

What is Warren Clinic Sand Springs Soonercare Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Warren Clinic Sand Springs Soonercare Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0887112) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Warren Clinic Sand Springs Soonercare Group was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.