Individual provider Active NPI

Michael W Warren, MD

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1407897655
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD031880E Issued in PA
Practice address
3045 Marietta Ave
Lancaster, PA 17601-1321
Phone
(717) 898-2900
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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 MD031880E PA Primary

Addresses

Primary practice location

3045 Marietta Ave
Lancaster, PA 17601-1321

Mailing address

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 898-2900

Other identifiers 1

IdentifierTypeStateIssuer
001190812MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040102000528 PA Practitioner - Family Practice 4385558295 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD031880EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2017 Accepting new patients
Palliative Medicine Consultants Family Medicine CurrentSince Aug 26, 2023 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2017 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

685 Good Dr
Lancaster, PA 17601
Phone (717) 295-3900

6 W Newport Rd
Lititz, PA 17543
Phone (717) 581-5255

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1407897655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011321",
            "telephone_number": "717-898-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011321",
            "telephone_number": "717-898-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD031880E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001190812",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.