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
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 Roman
Title
MD
Phone
(918) 298-2336

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
Dr Donald E Loveless17 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

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.