Individual provider Active NPI

Larry E. Warren, D.O.

  • Family Medicine Physician
  • Hyden, KY
National Provider Identifier
1316923931
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02875 Issued in KY
Practice address
130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone
(606) 672-2341
Fax
(606) 672-5254
NPI assigned
Dec 15, 2005
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02875 KY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000291 KY Practitioner - Emergency MedicinePractitioner - Family Practice 0648224659 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
83.57 of 100Reported as group
Quality
50.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jul 23, 2021 Accepting new patients
Knox Hospital Corporation Family Medicine Current Accepting new patients
Hyden Emergency Physicians, LLC CurrentSince Oct 1, 2011 Accepting new patients
Southern Medical Partners, LLC CurrentSince Sep 1, 2011 Accepting new patients
Green Valley Emergency Physicians, LLC CurrentSince May 1, 2025 Accepting new patients
Williamson Emergency Physicians LLC CurrentSince Nov 1, 2011 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jul 23, 2021 Accepting new patients
Middlesborough Emergency Physicians LLC CurrentSince Oct 1, 2014 Accepting new patients
Hopkinsville Emergency Physicians LLC Past Accepting new patients
Ashutosh S Lohe MD PSC PastSince Jul 1, 2019 Accepting new patients
Kentucky River HBP LLC Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients

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) 216-5145

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

  • Direct secure messaging: larrywarren@arh.medalliesdirect.net
  • Direct secure messaging: lewarren@knox.direct.csshealthtech.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1316923931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KATE IRELAND DR",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417499071",
            "telephone_number": "606-672-2341",
            "fax_number": "606-672-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KATE IRELAND DR",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417499071",
            "telephone_number": "606-672-2341",
            "fax_number": "606-672-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "LARRY",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyden, KY

Sources for this page

Verify at the official NPI Registry.