NPIMap

Organization Active NPI

Walter G Warren DPM, PC

Doing business as Comprehensive Foot & Ankle Center

  • Podiatrist
  • Seymour, IN
National Provider Identifier
1235245028
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000678 Issued in IN
Legal business name
WALTER G WARREN DPM, PC
Doing business as
Comprehensive Foot & Ankle Center
Practice address
1239 E 4TH Street Rd
Seymour, IN 47274-1839
Phone
(812) 524-3338
Fax
(812) 524-3337
NPI assigned
Aug 22, 2006
Last updated
Jun 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Walter G Warren, DPMNPI 1306951751
Title
President
Phone
(812) 524-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000678 IN Primary

Addresses

Primary practice location

1239 E 4TH Street Rd
Seymour, IN 47274-1839

Mailing address

PO Box 707
Seymour, IN 47274-0707
Phone (812) 524-3338

Other identifiers 5

IdentifierTypeStateIssuer
000000092305OtherINBCBS
480024209OtherINPALMETTO GBA RAILROAD
100140790AMedicaidIN
380042POtherINSIHO
0369030001OtherINDMERC

Other names 1

  • COMPREHENSIVE FOOT & ANKLE CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1235245028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472740707",
            "telephone_number": "812-524-3338",
            "fax_number": "812-524-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 E 4TH STREET RD",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472741839",
            "telephone_number": "812-524-3338",
            "fax_number": "812-524-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER G WARREN DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-524-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000092305",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "480024209",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100140790A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "380042P",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0369030001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE FOOT & ANKLE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.