Warren E Klick, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

170294 Issued in NY

Practice address

3551 County Road 8
Burdett, NY 14818-9797

Phone

(607) 546-2624

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Finger Lakes Emergency Physicians

  • Emergency Medicine Physician
  • Montour Falls, NY
  • NPI 1629089081
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1184637563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 COUNTY ROAD 8",
            "city": "BURDETT",
            "state": "NY",
            "postal_code": "148189797",
            "telephone_number": "607-546-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 COUNTY ROAD 8",
            "city": "BURDETT",
            "state": "NY",
            "postal_code": "148189797",
            "telephone_number": "607-546-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLICK",
        "first_name": "WARREN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "170294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01468024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Lyn Hale, LAC
• Hector Falls Integrative Medicine
• Lindsy Rae Hyer, M.S.
• Wendy Faye Jaynes, LPN
• Sherri Sue Kelly, LPN
• Molly Schamel, LMHC
• September Hill Midwifery
• Andrew John Seubert, M.A.
• Astra Titus, MSW, JD
• Town of Hector

• Emergency Medicine Physician in Burdett, NY
• Providers in Burdett, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.