NPIMap

Organization Active NPI

Warren Clinic Jenks

  • Primary Care Clinic/Center
  • Jenks, OK
National Provider Identifier
1992861983
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
19667 Issued in OK
Legal business name
WARREN CLINIC JENKS
Practice address
2605 W Main St
Jenks, OK 74037-3429
Phone
(918) 298-2336
Fax
(918) 298-2337
NPI assigned
Dec 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Vincent T RomanNPI 1619940152
Title
MD
Phone
(918) 298-2336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 19667 OK Primary

Addresses

Primary practice location

2605 W Main St
Jenks, OK 74037-3429

Mailing address

2605 W Main Street
Jenks, OK 74037-3429
Phone (918) 298-2336

National Provider Directory

National Provider Directory
Tax ID family
Patrick F McGowan MD17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2605 W Main St
Jenks, OK 74037
Phone (918) 209-4550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992861983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W MAIN STREET",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373429",
            "telephone_number": "918-298-2336",
            "fax_number": "918-298-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373429",
            "telephone_number": "918-298-2336",
            "fax_number": "918-298-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN CLINIC JENKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "918-298-2336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "19667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.