Randy L Warren MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21827 Issued in WV

Legal business name

RANDY L WARREN MD PLLC

Doing business as

Randy L Warren MD

Practice address

4501 Maccorkle Ave SW
Suite 202
Charleston, WV 25309-1444

Phone

(304) 766-6666

Fax

(304) 766-0999

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Randy L Warren, M.D.

Title

Owner/Member

Phone

(304) 766-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Randy L Warren MD Doing business as

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1053583575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 202",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-766-6666",
            "fax_number": "304-766-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 202",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-766-6666",
            "fax_number": "304-766-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY L WARREN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "304-766-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "21827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002129",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randy L Warren MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randall J. Hill, M.D., P.L.L.C.
• Jenna Marie Randall, M.S.CCC/SLP
• Jessica Nickole Randolph, RN
• Makenzie Randolph
• Marcela Randolph
• Pallavi Rani
• Marsha Rankin, FNP
• Erica Ransbottom
• Elizabeth Ranson
• Brittany Rarick

• Psychiatry Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.