Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Ann Warner Carroll, PA-C

Individual provider Physician Assistant · NPI 1295401859

Mary Ann Warner Carroll, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2023, 3 years ago. Practices with Omni Medical Group Inc, a 82-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1919 S Wheeling Ave Ste 200
Tulsa, OK 74104-5631
Phone: (918) 403-7089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5167 (OK)

Record details

NPI number1295401859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 16, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Omni Medical Group Inc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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