Mark G Warren DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1194 Issued in FL

Legal business name

MARK G WARREN DPM PA

Practice address

1325 S Congress Ave
Suite 108
Boynton Beach, FL 33426-5876

Phone

(561) 369-3300

Fax

(561) 734-2811

NPI assigned

Aug 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark G Warren, DPM

Title

Owner

Phone

(561) 369-3300

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1013349638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SW 36TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358514",
            "telephone_number": "561-369-3300",
            "fax_number": "561-734-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265876",
            "telephone_number": "561-369-3300",
            "fax_number": "561-734-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G WARREN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-369-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.