Organization Active NPI

Warren Clinic, Inc

  • Orthopaedic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1104139328
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WARREN CLINIC, INC
Practice address
10507 East 91St Street
Suite 450
Tulsa, OK 74133
Phone
(918) 307-3170
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Kaltenbacher
Title
Senior Vice President
Phone
(918) 488-6019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

10507 East 91St Street
Suite 450
Tulsa, OK 74133

Mailing address

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3310

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1021740Warren Clinic OBGYN10507 E 91St St, Suite 250, Tulsa, OK 74133Provider-performed microscopyJan 29, 2028
37D1075502Warren Clinic Family Medicine10507 E 91St Street, Suite 310, Tulsa, OK 74133Certificate of waiverFeb 26, 2028
37D2040068Warren Clinic10507 E 91St Street, Suite 550, Tulsa, OK 74133Certificate of waiverApr 22, 2028
37D2161894Warren Clinic Bishops 51010507 East 91St Street, Ste 510, Tulsa, OK 74133Certificate of waiverFeb 12, 2027
37D2275429Warren Clinic Urology - South10507 E 91St St South Suite 270, Tulsa, OK 74133Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1104139328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE",
            "address_2": "SUITE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 EAST 91ST STREET",
            "address_2": "SUITE 450",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-307-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "KALTENBACHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "918-488-6019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.