Active NPI
David Tyler Warren, M.D.
- Anesthesiology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 28425
- Practice address
- 1108 Ross Clark Cir
Dothan, AL 36301-3022 - Phone
- (334) 793-5105
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 28425 | AL | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 28425 | AL |
Addresses
Primary practice location
1108 Ross Clark Cir
Dothan, AL 36301-3022
Mailing address
1118 Ross Clark Cir
Suite 700
Dothan, AL 36301-3001
Phone (334) 793-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100630000164 | AL | Practitioner - Anesthesiology | 1557492899 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Alabama School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesiology Consultants of the Shoals
Practice addresses (Care Compare)
1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000
201 Avalon Ave
Muscle Shoals, AL 35661-2805
Phone (256) 386-1600
Hospital & facility affiliations
- North Alabama Medical Center
- North Alabama Shoals Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Consultants of the Shoals | Anesthesiology | Current | Accepting new patients |
Locations
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
205 Marengo St
Florence, AL 35630
Phone (256) 768-8350
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Florence, AL
- NPI 1396794582
AL, Anesthesiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1003019191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR",
"address_2": "SUITE 700",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013001",
"telephone_number": "334-793-5105",
"fax_number": "334-671-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-793-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "DAVID",
"middle_name": "TYLER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "28425",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AL",
"license": "28425",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.