Individual provider Active NPI

Paul Franklin Warlick, D.O.

  • Family Medicine Physician
  • Ada, OK
National Provider Identifier
1902030299
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4967 Issued in OK
Practice address
905 Colony Dr
Ada, OK 74820-2329
Phone
(580) 436-5111
Fax
(580) 436-1159
NPI assigned
May 14, 2009
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4967 OK Primary

Addresses

Primary practice location

905 Colony Dr
Ada, OK 74820-2329

Mailing address

527 W 3Rd St
Konawa, OK 74849-1415
Phone (809) 253-2865

Other identifiers 1

IdentifierTypeStateIssuer
4967OtherOKOKLAHOMA STATE BOARD OF OSTEOPATHIC EXAMINERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117000492 OK Practitioner - Family Practice 6406007012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 Arlington St
Ada, OK 74820-4067
Phone 5809253286227

301 N Monte Vista St
Ada, OK 74820-4607
Phone (580) 436-5111

304 N Monte Vista St
Ada, OK 74820-7484
Phone (580) 436-5111

527 W 3Rd St
Konawa, OK 74849-1415
Phone 5809253286227

807 N Monte Vista St
Ada, OK 74820-7711
Phone (580) 332-8855

905 Colony Dr
Ada, OK 74820-2329
Phone (580) 436-5111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4967OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oklahoma Family Medical Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Central Oklahoma Family Medical Center Inc CurrentSince Jan 1, 2019 Accepting new patients
Central Oklahoma Family Medical Center, Inc. Current Accepting new patients
Summit Medical Center Past Accepting new patients
Central Oklahoma Family Medical Center, Inc. Past Accepting new patients

Locations

1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700

807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413

905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111

905 Colony Dr
#A
Ada, OK 74820

527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286

302 W Smith
Stratford, OK 74872

Interoperability endpoints

  • Direct secure messaging: paul.warlick@cof.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1902030299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "809-253-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202329",
            "telephone_number": "580-436-5111",
            "fax_number": "580-436-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARLICK",
        "first_name": "PAUL",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF OSTEOPATHIC EXAMINERS",
            "identifier": "4967",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.