Individual provider Active NPI

Robert E Warrick, D.O.

  • Family Medicine Physician
  • Dodge City, KS
National Provider Identifier
1164514071
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-13922 Issued in KS
Practice address
3001 Avenue a
Dodge City, KS 67801-2270
Phone
(620) 225-8400
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-13922 KS Primary
Family Medicine Physician 207Q00000X 5712112-1204 UT
Family Medicine Physician 207Q00000X R-4603 AR
Family Medicine Physician 207Q00000X 30850 MO
Family Medicine Physician 207Q00000X 6206 ND
Family Medicine Physician 207Q00000X 3392 OK
Family Medicine Physician 207Q00000X 1103 WA
Emergency Medicine Physician 207P00000X 0513922 KS

Addresses

Primary practice location

3001 Avenue a
Dodge City, KS 67801-2270

Mailing address

429 S Angel St
Layton, UT 84041-3525
Phone (801) 544-2085

Other identifiers 1

IdentifierTypeStateIssuer
100232320GMedicaidKS

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0513922KSMDEmergency Medicine Physician
R-4603ARMDFamily Medicine Physician
05-13922KSMDFamily Medicine Physician
30850MOMDFamily Medicine Physician
6206NDMDFamily Medicine Physician
3392OKMDFamily Medicine Physician
1103WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Medical LLC Family Medicine PastSince Nov 18, 2008 Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1164514071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S ANGEL ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413525",
            "telephone_number": "801-544-2085",
            "fax_number": "801-544-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 AVENUE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012270",
            "telephone_number": "620-225-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRICK",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-13922",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5712112-1204",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R-4603",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "30850",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "6206",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3392",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "1103",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0513922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232320G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.