Active NPI
Mark Charles Warwick, M.D.
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1083752968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24113
- Practice address
- 301 E Espanola St
Colorado Springs, CO 80907-7519 - Phone
- (719) 475-9535
- Fax
- (719) 634-6169
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24113 | CO | Primary |
Addresses
Primary practice location
301 E Espanola St
Colorado Springs, CO 80907-7519
Mailing address
301 E Espanola St
Colorado Springs, CO 80907-7519
Phone (719) 475-9535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120123000030 | CO | Practitioner - General Practice | 9234306879 | Practice locations: Colorado Springs, CO |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 E Espanola St
Colorado Springs, CO 80907-7519
Phone (719) 475-9535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24113 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083752968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E ESPANOLA ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077519",
"telephone_number": "719-475-9535",
"fax_number": "719-634-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E ESPANOLA ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077519",
"telephone_number": "719-475-9535",
"fax_number": "719-634-6169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARWICK",
"first_name": "MARK",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "24113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.