Active NPI
Tracy Marie Warden, MD
- Anesthesiology Physician
- Spokane, WA
National Provider Identifier
1205066644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 60518526
- Practice address
- 800 W 5TH Ave
Spokane, WA 99204-2803 - Phone
- (509) 473-7672
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TN | ||
| Anesthesiology Physician | 207L00000X | MD.326606 | AL | |
| Anesthesiology Physician | 207L00000X | 60518526 | WA | Primary |
Addresses
Primary practice location
800 W 5TH Ave
Spokane, WA 99204-2803
Mailing address
2109 S Steen Rd
Spokane Valley, WA 99037-9255
Phone (832) 523-1536
Other practice location 1
1613 N Harrison Parkway
Suite 200
Sunrise, FL 33323-2853
Phone (954) 838-2371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.326606 | AL | MD | Anesthesiology Physician |
| 60518526 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates, PS | Anesthesiology | Current | Accepting new patients |
| Sheridan Anesthesia Services of Alabama, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Spokane, WA
- NPI 1831143254
-
dba Premier Anesthesia of Richland
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
-
- Anesthesiology Physician
- Andalusia, AL
- NPI 1225379159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1205066644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 S STEEN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990379255",
"telephone_number": "832-523-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042803",
"telephone_number": "509-473-7672"
}
],
"practiceLocations": [
{
"address_1": "1613 N HARRISON PARKWAY",
"address_2": "SUITE 200",
"address_purpose": "LOCATION",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"country_code": "US",
"telephone_number": "954-838-2371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARDEN",
"first_name": "TRACY",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "MD.326606",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "60518526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.