Organization Active NPI

Neil J Warren DPM PA

  • Primary Podiatric Medicine Podiatrist
  • Sarasota, FL
National Provider Identifier
1023048063
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
NEIL J WARREN DPM PA
Practice address
428 E Lake Dr
Sarasota, FL 34232-1918
Phone
(941) 906-1050
Fax
(941) 906-1049
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Neil Jay Warren, D.P.M.NPI 1992796056
Title
Owner
Phone
(941) 906-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

428 E Lake Dr
Sarasota, FL 34232-1918

Mailing address

428 E Lake Dr
Sarasota, FL 34232-1918
Phone (941) 906-1050

Other identifiers 1

IdentifierTypeStateIssuer
390002900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061023000185 FL Part B Supplier - Clinic/Group Practice 5698772325 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL; Sarasota, FL; Lakewood Ranch, FL

National Provider Directory

National Provider Directory

Locations

8220 Natures Way
Lakewood Ranch, FL 34202
Phone (304) 615-9268

5201 Bahia Vista St
Sarasota, FL 34232
Phone (941) 371-2729

3270 Lake Pointe Blvd
Sarasota, FL 34231
Phone (941) 929-2601

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1023048063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E LAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321918",
            "telephone_number": "941-906-1050",
            "fax_number": "941-906-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E LAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321918",
            "telephone_number": "941-906-1050",
            "fax_number": "941-906-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL J WARREN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-906-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390002900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.