NPIMap

Individual provider Active NPI

Roderick Lance Warren, M.D.

  • Neurology Physician
  • Evansville, IN
National Provider Identifier
1093719841
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01043305 Issued in IN
Practice address
801 Saint Marys Dr
Ste 303
Evansville, IN 47714-0522
Phone
(812) 477-1560
Fax
(812) 477-1595
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01043305 IN Primary

Addresses

Primary practice location

801 Saint Marys Dr
Ste 303
Evansville, IN 47714-0522

Mailing address

801 Saint Marys Dr
Ste 303
Evansville, IN 47714-0522
Phone (812) 477-1560

Other identifiers 1

IdentifierTypeStateIssuer
200019230MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080324000523 IN Practitioner - Neurology 0446295059 Reassigns benefits to 2 organizations
I20220422000771 KY Practitioner - Neurology 0446295059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Kentucky College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187

1413 N Elm St
Ste106
Henderson, KY 42420-2768
Phone (270) 831-7937

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 853-5300

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

4233 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 853-7391

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01043305INMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Neurology CurrentSince Apr 5, 2022 Accepting new patients
Deaconess Clinic Inc. Current Accepting new patients
Deaconess Hospital, Inc Neurology CurrentSince Dec 24, 2020 Accepting new patients
Deaconess Clinic, Inc Current Accepting new patients
Deaconess Hospital Inc CurrentSince Dec 24, 2020 Accepting new patients
Deaconess Clinic Inc CurrentSince Nov 1, 2017 Accepting new patients
Deaconess Hospital, Inc Neurology Current Accepting new patients
Deaconess Clinic Inc. Neurology CurrentSince Nov 1, 2017 Accepting new patients

Locations

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4233 Gateway Blvd
Newburgh, IN 47630
Phone (812) 474-7116

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1413 N Elm St
Ste 106
Henderson, KY 42420
Phone (270) 827-0064

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: rwarren369@direct.deaconess.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1093719841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR",
            "address_2": "STE 303",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140522",
            "telephone_number": "812-477-1560",
            "fax_number": "812-477-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR",
            "address_2": "STE 303",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140522",
            "telephone_number": "812-477-1560",
            "fax_number": "812-477-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "RODERICK",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01043305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.