Mark G Warren, D.P.M

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1194 Issued in FL

Practice address

1325 S Congress Ave
Suite 108
Boynton Beach, FL 33426-5876

Phone

(561) 369-3300

Fax

(561) 734-2811

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mark G Warren D P M P a

  • Podiatrist
  • Delray Beach, FL
  • NPI 1801066188
  Medicare reassignment NPD Authorized official
• Boca Deerfield Foot Care Center Inc

  • Primary Podiatric Medicine Podiatrist
  • Deerfield Beach, FL
  • NPI 1306055371
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1457460396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S.W. 36TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-369-3300",
            "fax_number": "561-734-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265876",
            "telephone_number": "561-369-3300",
            "fax_number": "561-734-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04125710-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guangsheng G Wang, MD
• Warby Parker Inc.
• Jonathan Blair Warford, M.D.
• Michael J. Warner, PSY.D
• Samantha Warner
• Richard Tracy Warren II, LCSW
• Mikaela C Washington
• Wendy Jane Waterman, MS, CCC-SLP
• Shannon Bre Anna Watkins
• We Are a Village LLC

• Podiatrist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.