Keith Warren

Primary specialty

SpecialistTaxonomy code 174400000X

License

025132-1 Issued in NY

Practice address

214 King St
Ogdensburg, NY 13669-1142

Phone

(315) 393-8880

NPI assigned

May 22, 2008

Last updated

Mar 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1275790552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-393-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Commerce Ln",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136173738",
            "country_code": "US",
            "telephone_number": "315-379-9571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Industrial Parkway",
            "address_purpose": "LOCATION",
            "city": "Keeseville",
            "state": "NY",
            "postal_code": "12944",
            "country_code": "US",
            "telephone_number": "518-834-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Fay Brooke Drive",
            "address_purpose": "LOCATION",
            "city": "Lake Clear",
            "state": "NY",
            "postal_code": "12945",
            "country_code": "US",
            "telephone_number": "518-891-6565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 1/2 S Main St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NY",
            "postal_code": "136683168",
            "country_code": "US",
            "telephone_number": "315-353-6618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 New York Road",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "12903",
            "country_code": "US",
            "telephone_number": "518-324-8651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011910",
            "country_code": "US",
            "telephone_number": "518-563-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 St Patrick Pl",
            "address_purpose": "LOCATION",
            "city": "Port Henry",
            "state": "NY",
            "postal_code": "129741200",
            "country_code": "US",
            "telephone_number": "518-546-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "025132-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Ann Waller
• Jeremy M. Warchol, PT
• Jeffery Ward
• Kaitlin Ward
• Kil Y. Ward
• Olin Lee Warren, RN
• Watertown Medical Optical PLLC
• Cynthia J Weaver
• Kristine Marie Weber, DNP
• Kaichun Wei, MD

• Specialist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.