NPIMap

Individual provider Active NPI

Sherisa Warren, D.O.

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1700104015
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
7204 Issued in OK
Practice address
3200 Quail Springs Pkwy Ste 200
Oklahoma City, OK 73134-2699
Phone
(405) 701-9880
Fax
(405) 701-9881
NPI assigned
May 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101018187 MI
Surgery Physician 208600000X TP417 KY
Surgery Physician 208600000X 7204 OK
Vascular Surgery Physician 2086S0129X TP417 KY
Vascular Surgery Physician 2086S0129X 7204 OK Primary

Addresses

Primary practice location

3200 Quail Springs Pkwy Ste 200
Oklahoma City, OK 73134-2699

Mailing address

PO Box 258857
Oklahoma City, OK 73125-8857
Phone (405) 241-3539

Other practice location 1

1910 E Thomas Rd Ste 200
Phoenix, AZ 85016-7767
Phone (602) 266-2200

Other practice location 2

1025 Saint Joseph Lane
London, KY 40741-8345
Phone (606) 330-2370

Other identifiers 1

IdentifierTypeStateIssuer
7204OtherOKSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210609002522 OK Practitioner - Vascular Surgery 3375862097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Cardiovascular Solutions, LLCGroup PAC ID 9335454420, 8 clinicians
Cardiovascular Health Clinic PLLCGroup PAC ID 5597070326, 23 clinicians

Practice addresses (Care Compare)

3200 Quail Springs Pkwy
Suite 100
Oklahoma City, OK 73134-2698
Phone 40570198990

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3539

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
  • Arbuckle Memorial Hospital Authority Hospital, Sulphur, OK, CCN 371328

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
59.04
Promoting interoperability
97
Improvement activities
40
Cost
74.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal21
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018187MIMDSurgery Physician
7204OKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Health Clinic PLLC Vascular Surgery CurrentSince May 1, 2021 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Advanced Cardiovascular Solutions, LLC CurrentSince Jun 1, 2021 Accepting new patients
Oklahoma Heart Hospital South LLC Past Accepting new patients
Advanced Surgical & Research Solutions LLC Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

38509 Highway 7 W
Davis, OK 73030
Phone (580) 368-3045

3200 Quail Springs Pkwy
Ste 100
Oklahoma City, OK 73134
Phone (405) 418-5400

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

3200 Quail Springs Pkwy
Ste 20
Oklahoma City, OK 73134

Interoperability endpoints

  • Direct secure messaging: swarren396240@direct-ehr-ssmhc.com
  • Direct secure messaging: sherisawarren@kysjhspe.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/23723/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sherisa.warren.p1@direct.ahgcardiology.nextgenshare.com
  • Direct secure messaging: sherisa.warren.1@23723.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1700104015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258857",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731258857",
            "telephone_number": "405-241-3539",
            "fax_number": "405-241-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342699",
            "telephone_number": "405-701-9880",
            "fax_number": "405-701-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 E Thomas Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167767",
            "country_code": "US",
            "telephone_number": "602-266-2200",
            "fax_number": "602-604-6134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Saint Joseph Lane",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407418345",
            "country_code": "US",
            "telephone_number": "606-330-2370",
            "fax_number": "606-877-1593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SHERISA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018187",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "TP417",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "7204",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "TP417",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "7204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7204",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.