Larimore C Warren, M.D., P.C.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD15070 Issued in TN

Practice address

1405 W Baddour Pkwy
Suite 100
Lebanon, TN 37087-2567

Phone

(615) 444-3145

Fax

(615) 444-3312

NPI assigned

May 16, 2006

Last updated

Jun 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Larimore C. Warren, M.D., P.C.

  • Surgery Physician
  • Lebanon, TN
  • NPI 1346440153
  Authorized official Same address or phone

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1255383766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY",
            "address_2": "SUITE 100",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872567",
            "telephone_number": "615-444-3145",
            "fax_number": "615-444-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY",
            "address_2": "SUITE 100",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872567",
            "telephone_number": "615-444-3145",
            "fax_number": "615-444-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "LARIMORE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD15070",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD15070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4074907",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "4074907",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "0081749",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723231",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy May Walker, PA-C
• Leslie Suzanne Wallace, DMD
• William C Wallace, PT
• Tammie Wampler, PA-C
• Brooke Warren, APN
• Marla Renee Warren, NURSE PRACTITIONER
• Charles Eddie Waters, PHARMD, BCPS, CGP
• Mary Elizabeth Watts, D.D.S.
• Wayne O. Wells, M.D.
• Brandon Craig Weber, PHARMD

• Vascular Surgery Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.