Active NPI
Robert E Warrick, D.O.
- Family Medicine Physician
- Dodge City, KS
National Provider Identifier
1164514071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-13922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100232320G | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0513922 | KS | MD | Emergency Medicine Physician |
| R-4603 | AR | MD | Family Medicine Physician |
| 05-13922 | KS | MD | Family Medicine Physician |
| 30850 | MO | MD | Family Medicine Physician |
| 6206 | ND | MD | Family Medicine Physician |
| 3392 | OK | MD | Family Medicine Physician |
| 1103 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| After Hours Medical LLC | Family Medicine | Past | 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.
-
- Internal Medicine Physician
- Newton, KS
- NPI 1104864503
Family Medicine
-
dba Medallus Medical
- Urgent Care Clinic/Center
- Draper, UT
- NPI 1437251279
Family Medicine
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
- Walmart Inc. (Walmart Pharmacy 10-0372)
- Walmart, Inc. (Walmart pharmacy 10-3164)
- Wade Cody Walters, DDS
- Emalea Raeannah Nicole Warden
- Kathleen Joan Warner-Long, MED, LCPC
- Stacy Waters, COTA/L
- Tyler N Weenig, DMD
- Western Plains Physician Practices LLC (Western Plains Eye Associates)
- Western Plains Physician Practices LLC (Southwest Kansas Orthopedics)
- Western Plains Physician Practices LLC (Dodge City Surgical Services)
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.