Active NPI
William Addison Warren, M.D.
- Internal Medicine Physician
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D13916
- Practice address
- 8871 Gorman Road
Ste 300
Laurel, MD 20723 - Phone
- (301) 498-3150
- Fax
- (301) 490-2411
- NPI assigned
- Jun 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D13916 | MD | Primary |
| Pulmonary Disease Physician | 207RP1001X | D13916 | MD |
Addresses
Primary practice location
8871 Gorman Road
Ste 300
Laurel, MD 20723
Mailing address
8871 Gorman Road
Ste 300
Laurel, MD 20723
Phone (301) 498-3150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80160003 | Other | DC | BLUE SHIELD NATIONAL AREA |
| 411701800 | Medicaid | MD | |
| 36778001 | Other | MD | BLUE SHIELD OF MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13916 | MD | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Warren & McClain MD CHTD | Internal Medicine | Current | Accepting new patients |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Women First, OB-GYN Associates, LLC | Past | Accepting new patients |
Locations
8871 Gorman Rd
Laurel, MD 20723
Phone (301) 498-3150
8871 Gorman Rd
Ste 300
Laurel, MD 20723
Phone (301) 498-3150
321 Prince George St
Laurel, MD 20707
Phone (301) 725-0600
9649 Belair Rd
Fl 2
Nottingham, MD 21236
Phone (410) 256-9340
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1669478285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8871 GORMAN ROAD",
"address_2": "STE 300",
"city": "LAUREL",
"state": "MD",
"postal_code": "20723",
"telephone_number": "301-498-3150",
"fax_number": "301-490-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8871 GORMAN ROAD",
"address_2": "STE 300",
"city": "LAUREL",
"state": "MD",
"postal_code": "20723",
"telephone_number": "301-498-3150",
"fax_number": "301-490-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "WILLIAM",
"middle_name": "ADDISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D13916",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D13916",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NATIONAL AREA",
"identifier": "80160003",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411701800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MD",
"identifier": "36778001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.