Mary K R Warren M.D. Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD9630 Issued in HI

Legal business name

MARY K R WARREN M.D. INC

Practice address

75-5995 Kuakini Hwy
211
Kailua Kona, HI 96740-2144

Phone

(808) 329-2500

Fax

(808) 334-1808

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary K R Warren, M.D.NPI 1962544122

Title

President

Phone

(808) 329-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mary Katherine Warren, M.D.

  • Adult Medicine Physician
  • Kailua Kona, HI
  • NPI 1962544122
  NPD (past) Authorized official
• Toni Anne Romp-Friesen, APRN

  • Women's Health Nurse Practitioner
  • Kailua Kona, HI
  • NPI 1124166731
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1306093968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY",
            "address_2": "211",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402144",
            "telephone_number": "808-329-2500",
            "fax_number": "808-334-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY",
            "address_2": "211",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402144",
            "telephone_number": "808-329-2500",
            "fax_number": "808-334-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K R WARREN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-329-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "MD9630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Manuel
• Mickayla Marie Markley, MAT
• Sarah Martens, PT
• Howard M Martin II, LMT, DC
• Robert Carl Martin, D.C., CCN, DACBN, AB
• Mary K. Warren, M.D., Inc
• Sarah Masoner
• Amber Masulit, PHARMD
• Mark Isami Masunaga, DDS
• Cheyshia Leigh Materne

• Primary Care Clinic/Center in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.