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WARREN CLINIC BROKEN ARROW PEDIATRICS SOONERCARE GROUP
NPI 1992963383
Pediatrics in Tulsa, OK

Active since June 02, 2008
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 Broken Arrow Pediatrics Soonercare Group NPPES

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

WARREN CLINIC BROKEN ARROW PEDIATRICS SOONERCARE GROUP (NPI 1992963383) is a healthcare organization registered as a pediatrics in Tulsa, Oklahoma and active in the NPI registry since June 2008. The organization lists Kathy Mason, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1992963383
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWARREN CLINIC BROKEN ARROW PEDIATRICS SOONERCARE GROUP
Location Address6600 S YALE AVE, STE 1400Tulsa, OK 74136-3310
Mailing Address2950 S Elm Pl, Ste 430Broken Arrow, OK 74012-7877
Phone(918) 488-6001
Organization SubpartYesParent: Warren Clinic
Authorized OfficialKathy MasonCredentialing Coordinator · (918) 488-6687
Enumeration DateJune 2, 2008
✔ NPI 1992963383 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

Medicaid100739490SOK

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

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 Broken Arrow Pediatrics Soonercare Group's NPI number?

The NPI number for Warren Clinic Broken Arrow Pediatrics Soonercare Group is 1992963383. It was assigned to this organization in the NPPES registry on June 2, 2008.

Where is Warren Clinic Broken Arrow Pediatrics Soonercare Group located?

Warren Clinic Broken Arrow Pediatrics 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 Broken Arrow Pediatrics Soonercare Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Warren Clinic Broken Arrow Pediatrics 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.