Active NPI
Calvin E Warren Jr., M.D. M.S.M.M. C.P.E
- Internal Medicine Physician
- New Albany, OH
National Provider Identifier
1083696173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-053283
- Practice address
- 7400 W Campus Rd
Aetna F489
New Albany, OH 43054-8725 - Phone
- (614) 933-5815
- NPI assigned
- Nov 15, 2005
- Last updated
- Jan 29, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-053283 | OH | Primary |
Addresses
Primary practice location
7400 W Campus Rd
Aetna F489
New Albany, OH 43054-8725
Mailing address
1950 E 84TH St
Cleveland, OH 44103-4257
Phone (216) 229-2599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-053283 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1083696173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 E 84TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034257",
"telephone_number": "216-229-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 W CAMPUS RD",
"address_2": "AETNA F489",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548725",
"telephone_number": "614-933-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "CALVIN",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D. M.S.M.M. C.P.E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-053283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.