Warren Retina Associates, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WARREN RETINA ASSOCIATES, PA

Practice address

10100 W 119TH St
Suite 260
Overland Park, KS 66213-1604

Phone

(913) 339-6970

Fax

(913) 339-6974

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith Adrian Warren, MDNPI 1790757631

Title

President

Phone

(913) 339-6970

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Adrian Warren, M.D.

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1790757631
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013984129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 WESTGATE ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132365",
            "telephone_number": "913-897-2899",
            "fax_number": "913-897-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W 119TH ST",
            "address_2": "SUITE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131604",
            "telephone_number": "913-339-6970",
            "fax_number": "913-339-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN RETINA ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-339-6970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TOPEKA",
            "identifier": "104924",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "21234042",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warm Dental
• Aidan Warner
• Mary Elizabeth Warner
• Richard B. Warner, M.D.
• Elizabeth Ashley Warnery, APRN
• Diana Marie Warren, PT, DPT
• Jordan Warren, LPC
• Keith Adrian Warren, M.D.
• Ronda Lynn Warren, MD
• Anassa Warrior

• Ophthalmology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.