Organization Active NPI

Auburn Spine & Neurosurgery Center, PC

  • Neurological Surgery Physician
  • Auburn, AL
National Provider Identifier
1336215680
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
AUBURN SPINE & NEUROSURGERY CENTER, PC
Practice address
560 Devall Drive
Suite 301
Auburn, AL 36832
Phone
(334) 821-0466
Fax
(334) 821-4682
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Dr. Wayne L Warren Jr., MDNPI 1578671186
Title
Ceo M.D.
Phone
(334) 821-0466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X AL Primary

Addresses

Primary practice location

560 Devall Drive
Suite 301
Auburn, AL 36832

Mailing address

560 Devall Drive
Suite 301
Auburn, AL 36832
Phone (334) 821-0466

Other identifiers 1

IdentifierTypeStateIssuer
529928430MedicaidAL

National Provider Directory

National Provider Directory

Locations

2320 Moores Mill Rd
Ste 250
Auburn, AL 36830
Phone (334) 821-0466

560 Devall Dr
Ste 301
Auburn, AL 36832
Phone (334) 821-0466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1336215680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 DEVALL DRIVE",
            "address_2": "SUITE 301",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36832",
            "telephone_number": "334-821-0466",
            "fax_number": "334-821-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 DEVALL DRIVE",
            "address_2": "SUITE 301",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36832",
            "telephone_number": "334-821-0466",
            "fax_number": "334-821-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN SPINE & NEUROSURGERY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO M.D.",
        "authorized_official_telephone_number": "334-821-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529928430",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.