NPIMap

Organization Active NPI

Warren General Hospital

Doing business as Warren Medical Group Specialty Services

  • Surgery Physician
  • Warren, PA
National Provider Identifier
1609167667
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS015203 Issued in PA
Legal business name
WARREN GENERAL HOSPITAL
Doing business as
Warren Medical Group Specialty Services
Practice address
2 W Crescent Park
Warren, PA 16365-2111
Phone
(814) 723-4973
Fax
(814) 723-6095
NPI assigned
Apr 26, 2011
Last updated
May 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Julie Snyder
Title
Exec Dir of Fiscal Services
Phone
(814) 723-3300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X MD010966E PA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X OS015203 PA Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X MD432670 PA

Addresses

Primary practice location

2 W Crescent Park
Warren, PA 16365-2111

Mailing address

2 Crescent Park West
Warren, PA 16365-2111
Phone (814) 723-3300

Other names 1

  • Warren Medical Group Specialty Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address warrengeneralhospital@directaddress.net

National Provider Directory

National Provider Directory
Tax ID family
David E Martin Dental Clinic17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1609167667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRESCENT PARK WEST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-3300",
            "fax_number": "814-723-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-4973",
            "fax_number": "814-723-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXEC DIR OF FISCAL SERVICES",
        "authorized_official_telephone_number": "814-723-3300"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD010966E",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS015203",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "MD432670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "warrengeneralhospital@directaddress.net",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Summary of Care",
            "address_1": "2 W Crescent Park",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163652111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Warren Medical Group Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Warren Medical Group Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.