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Deactivated NPI 1629028691 Deactivated / Inactive NPI Male Practitioner

Dr. Robert S Warren , DO

General Practice • Jay, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Warren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2006
NPI Deactivation Date September 06, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Warren, DO was a registered General Practice practicing in Jay, OK. Throughout an active medical career spanning 12 years, Dr. Warren provided care at the practice location at 1015 W WASHBOURNE ST until profile deactivation on 2018-09-06.

Practice Location & Contact Primary Location

Practice Address

1015 W Washbourne St

Jay, OK 743460350

Telephone 9182531427
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jay, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Jay, OK (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OK 3061

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Roy Coatney

Peer Specialist

NPI 1023716990
Travis Kersh

Peer Specialist

NPI 1023717972
Jade Frazier , RN

Case Manager/Care Coordinator

NPI 1023883493

Registered Nurse

Alisha Hughes

Behavior Analyst

NPI 1033891171
Andrew Wickline

Case Manager/Care Coordinator

NPI 1073237913
Elizabeth Buchanan

Counselor - Mental Health

NPI 1083359541

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 06, 2018

Record deactivated on September 06, 2018

NPI Profile Active June 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 12, 2008

Registered at 1015 W WASHBOURNE ST, JAY, OK 743460350 (Tel: 9182531427)

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Updated Business Mailing Address June 12, 2008

Registered at 1015 W WASBOURNE ST, JAY, OK 743460350 (Tel: 9182534271)

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Provider Name / Credentials Updated June 12, 2008

Recorded as ROBERT WARREN, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2008

General Practice (License #3061 in OK)

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Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629028691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: June 12, 2008
Deactivation Date: September 06, 2018

Mailing Address

1015 W Wasbourne St

Jay, OK 743460350

Phone: 9182534271

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.