Steven E Warren MD PC LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

STEVEN E WARREN MD PC LLC

Practice address

4698 S Highland Dr Ste 100
SLC, UT 84117-5176

Phone

(801) 797-5901

Fax

(801) 797-5906

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Steven E Warren, MD

Title

Owner

Phone

(801) 652-8613

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Kogan, FNP

  • Nurse Practitioner
  • St George, UT
  • NPI 1629619531
  NPD (past)

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1235426925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4698 S HIGHLAND DR STE 100",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841175176",
            "telephone_number": "801-797-5901",
            "fax_number": "801-797-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4698 S HIGHLAND DR STE 100",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841175176",
            "telephone_number": "801-797-5901",
            "fax_number": "801-797-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E WARREN MD PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-652-8613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366421729",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Utah
• Theresa R Stauffer, RN
• Changhong Cherry Steele
• Max M Steele, M.D.
• Kaylie Stephens
• Peter M Stevens, MD
• Tammy Stevens, AAS
• Nancy J Stevenson, PA-C
• Jacob Stever, M.D.
• Alisa Jorgensen Stewart

• Geriatric Medicine (Family Medicine) Physician in SLC, UT
• Providers in SLC, UT by specialty
• Geriatric Medicine (Family Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.