Active NPI
Ethan Warlick, M.D.
- Urgent Care Clinic/Center
- Tulsa, OK
National Provider Identifier
1245227123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Practice address
- 4710 E 51St St
Tulsa, OK 74135-3704 - Phone
- (918) 928-7828
- NPI assigned
- Oct 5, 2005
- Last updated
- Dec 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary | ||
| Pediatrics Physician | 208000000X | 21053 | OK |
Addresses
Primary practice location
4710 E 51St St
Tulsa, OK 74135-3704
Mailing address
4710 E 51St St
Tulsa, OK 74135-3704
Phone (918) 928-7828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100114510A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedistat, PLLC | Pediatrics | Current | Accepting new patients |
| Osu Center for Health Sciences | Past | Accepting new patients |
Locations
4710 E 51st St
Tulsa, OK 74135
Phone (918) 928-7828
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1245227123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 E 51ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741353704",
"telephone_number": "918-928-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 E 51ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741353704",
"telephone_number": "918-928-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARLICK",
"first_name": "ETHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "21053",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100114510A",
"state": "OK"
}
],
"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 Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.