Active NPI
Warren Clinic, Inc
- Orthopaedic Surgery Physician
- Tulsa, OK
National Provider Identifier
1104139328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1021740 | Warren Clinic OBGYN | Provider-performed microscopy | Jan 29, 2028 |
| 37D1075502 | Warren Clinic Family Medicine | Certificate of waiver | Feb 26, 2028 |
| 37D2040068 | Warren Clinic | Certificate of waiver | Apr 22, 2028 |
| 37D2161894 | Warren Clinic Bishops 510 | Certificate of waiver | Feb 12, 2027 |
| 37D2275429 | Warren Clinic Urology - South | Certificate of waiver | Jan 22, 2027 |
National Provider Directory
National Provider DirectoryMember 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
- Warren Clinic Sand Springs Soonercare Group
- Warren Clinic South Family Medicine Soonercare Group
- Warren Clinic Stillwater Soonercare
- Warren Clinic Vinita Fee for Service Group
- Warren Clinic Vinita Soonercare Group
- Warren L. Good, D.D.S., P.C.
- Alvertis Warren
- Amber Nicole Warren
- Courtney Lynn Warren, C-NP
- Jane Davis Warren
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.