Elbert G Warren III, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

36295 Issued in TN

Practice address

1605 S Locust Ave
Ste 200
Lawrenceburg, TN 38464-4061

Phone

(931) 766-4560

Fax

(931) 766-4568

NPI assigned

Aug 31, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: warren_elbert@yourcarecommunity.org

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1467563734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384640248",
            "telephone_number": "931-766-4560",
            "fax_number": "931-766-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S LOCUST AVE",
            "address_2": "STE 200",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644061",
            "telephone_number": "931-766-4560",
            "fax_number": "931-766-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ELBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "36295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4321647",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3872835",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01621746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co (Walgreens #09444)
• Richard Davis Walker Jr., LCSW
• Ashley Anne Waller, PTA
• Riley Elisabeth Walters
• Tena Lou Washburn, RN
• Austin Watkins
• Tiffany Watson
• Amanda Danyelle Webb, PMHNP
• Wel-Med

• Obstetrics & Gynecology Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.