Active NPI
Larimore C. Warren, M.D., P.C.
- Surgery Physician
- Lebanon, TN
National Provider Identifier
1346440153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD15070
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3723231 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Lebanon, TN
- NPI 1962403378
-
- Surgery Physician
- Lebanon, TN
- NPI 1225188501
-
- Surgery Physician
- Naperville, IL
- NPI 1912973686
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.