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Warren Clinic Medicaid Group 100739490b

General Practice Physician in Tulsa, OK · enumerated 2008 · authorized official Cathey Duplissey, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316105703

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Registry record

Entity type Organization (Type 2)
Legal business name Warren Clinic Medicaid Group 100739490b
Parent organization Warren Clinic
Practice address 6600 S Yale Ave, Suite 1400, Tulsa, OK, 74136
Enumeration date Jun 2, 2008
Last updated in NPPES Dec 13, 2018

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Cathey Duplissey
Title Credentialing Coordinator

Other identifiers

Identifier Type State Issuer
100739490B Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Warren Clinic Medicaid Group 100739490b?
Warren Clinic Medicaid Group 100739490b is registered in NPPES as a General Practice Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-13.