OrganizationActive
Warren Clinic Broken Arrow Pediatrics Soonercare Group
NPI 1992963383 · Pediatrics Physician · Tulsa, OK
Provider details
- NPI number
- 1992963383
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Warren Clinic
- Organization subpart
- Yes
- Authorized official
- Kathy Mason, Credentialing Coordinator(918) 488-6687
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136-3310
Phone: (918) 488-6001
Street-level locationGet directions
Mailing address
2950 S Elm Pl
Broken Arrow, OK 74012-7877
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2008-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.