Larry E. Warren, D.O.
Individual provider Active NPI Family Medicine Physician · Hyden, KY
NPI 1316923931 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1316923931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02875 (KY)
- Practice address
- 130 Kate Ireland Dr
Hyden, KY 41749-9071 - Phone
- (606) 672-2341
- Fax
- (606) 672-5254
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 33
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arh Mary Breckinridge Health Services, Inc.
Southeastern Emergency Physicians LLC
Practice addresses (Care Compare)
130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone (606) 672-2341
723 Old Burkesville Rd
Albany, KY 42602-1654
Phone (606) 387-8000
Hospital & facility affiliations
- Mary Breckinridge Arh Home Health Agency
- Mary Breckinridge Arh Hospital
- The Medical Center at Albany
- Mary Breckinridge Arh Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.57 of 100
- Quality
- 50.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050311000291 | KY | Practitioner - Emergency Medicine |
0648224659 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02875 | KY | MD | Family Medicine Physician |
Practice roles
Locations
861 SW 78th Ave
Ste 100B
Plantation, FL 33324
80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500
100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503
130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341
3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700
Interoperability endpoints
- larrywarren@arh.medalliesdirect.net
- lewarren@knox.direct.csshealthtech.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02875 | KY | Yes |
Addresses
Primary practice location
130 Kate Ireland Dr
Hyden, KY 41749-9071
Mailing address
130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone (606) 672-2341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1388019 | Other | KY | MEDICARE |
| 64100514 | Medicaid | KY | |
| C92475 | Other | KY | CHI |
| 000000503474 | Other | KY | ANTHEM BCBS |
Other providers in Hyden, KY
- Heather Michelle Tabata
- Tiers of Hope
- Sharon Turner
- Roy Varghese
- Walgreen Co
- Erin B Wells
- Jessica Lawanda Whitehead
- Tina Whitehead
- Jacob Charles Williams
- Christan P Wooton
All providers in Hyden, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.