Active NPI
Robert B Warwick, MD
- Family Medicine Physician
- Federal Way, WA
National Provider Identifier
1649453739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00014587
- Practice address
- 30809 1St Ave S
Federal Way, WA 98003-4074 - Phone
- (253) 839-2030
- Fax
- (253) 839-1071
- NPI assigned
- Dec 11, 2007
- Last updated
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00014587 | WA | Primary |
Addresses
Primary practice location
30809 1St Ave S
Federal Way, WA 98003-4074
Mailing address
30809 1St Ave S
Federal Way, WA 98003-4074
Phone (253) 839-2030
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0227277 | Other | WA | STATE L&I |
| 0264298 | Other | WA | STATE L&I |
| 0264299 | Other | WA | STATE L&I |
| 0264300 | Other | WA | STATE L&I |
| 0264296 | Other | WA | STATE L&I |
| 0264303 | Other | WA | STATE L&I |
| 0291699 | Other | WA | STATE L&I |
| 0298551 | Other | WA | STATE L&I |
| 0264304 | Other | WA | STATE L&I |
| 8946021 | Other | WA | STATE CRIME VICTIMS |
| 0264297 | Other | WA | STATE L&I |
| 0264301 | Other | WA | STATE L&I |
| 0264305 | Other | WA | STATE L&I |
| 0264294 | Other | WA | STATE L&I |
| 0264295 | Other | WA | STATE L&I |
| 8500720 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1649453739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30809 1ST AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034074",
"telephone_number": "253-839-2030",
"fax_number": "253-839-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30809 1ST AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034074",
"telephone_number": "253-839-2030",
"fax_number": "253-839-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARWICK",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00014587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0227277",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264298",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264299",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264300",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264296",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264303",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0291699",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0298551",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264304",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CRIME VICTIMS",
"identifier": "8946021",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264297",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264301",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264305",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264294",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264295",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8500720",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
- Lysa Susanne Ward, MD
- Maureen Elisabeth Ward, LMP
- Gail Warner
- Carrie Warren
- Staci Michelle Warren, DPT
- Washington Center for Pain Management LLC
- Washington CVS Pharmacy LLC (CVS Pharmacy #17064)
- Washington CVS Pharmacy LLC (CVS Pharmacy #10659)
- Washington Dental Corporation, PC (Federal Way Modern Dentistry)
- Washington Dental Federal Way, LLC (WA Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.