Active NPI
Thomas C Warrington, PA
- Physician Assistant
- North Creek, NY
National Provider Identifier
1174539282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2796
- Practice address
- 112 Ski Bowl Rd
North Creek, NY 12853-2607 - Phone
- (518) 761-0300
- Fax
- (518) 480-0119
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2796 | NY | Primary |
Addresses
Primary practice location
112 Ski Bowl Rd
North Creek, NY 12853-2607
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02346798 | Medicaid | NY |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2796 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1174539282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CAREY RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128047880",
"telephone_number": "518-761-0300",
"fax_number": "518-824-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SKI BOWL RD",
"city": "NORTH CREEK",
"state": "NY",
"postal_code": "128532607",
"telephone_number": "518-761-0300",
"fax_number": "518-480-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARRINGTON",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "2796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02346798",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Creek, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.