Organization Active NPI

Larimore C. Warren, M.D., P.C.

  • Surgery Physician
  • Lebanon, TN
National Provider Identifier
1346440153
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD15070 Issued in TN
Legal business name
LARIMORE C. WARREN, M.D., P.C.
Practice address
1405 W Baddour Pkwy
Suite 100
Lebanon, TN 37087-2567
Phone
(615) 444-3145
Fax
(615) 444-3312
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Dr. Larimore C Warren, M.D.
Title
Sole Proprietor
Phone
(615) 444-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD15070 TN Primary

Addresses

Primary practice location

1405 W Baddour Pkwy
Suite 100
Lebanon, TN 37087-2567

Mailing address

1405 W Baddour Pkwy
Suite 100
Lebanon, TN 37087-2567
Phone (615) 444-3145

Other identifiers 1

IdentifierTypeStateIssuer
3723231MedicaidTN

National Provider Directory

National Provider Directory

Locations

1405 W Baddour Pkwy
Ste 102
Lebanon, TN 37087
Phone (615) 444-2422

1405 W Baddour Pkwy
Ste 100
Lebanon, TN 37087
Phone (615) 444-2422

Practitioners & affiliated clinicians

Practitioners 3

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1346440153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY",
            "address_2": "SUITE 100",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872567",
            "telephone_number": "615-444-3145",
            "fax_number": "615-444-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY",
            "address_2": "SUITE 100",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872567",
            "telephone_number": "615-444-3145",
            "fax_number": "615-444-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARIMORE C. WARREN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LARIMORE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "615-444-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD15070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723231",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.