Active NPI
Warren Statman, ABO
- Optician
- Crofton, MD
National Provider Identifier
1689790925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 1268 MD RT 3 South
Suite #2
Crofton, MD 21114-1333 - Phone
- (410) 721-5533
- Fax
- (410) 721-5550
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1268 MD RT 3 South
Suite #2
Crofton, MD 21114-1333
Mailing address
1268 MD RT 3 South
Suite #2
Crofton, MD 21114-1333
Phone (410) 721-5533
Other names 1
- Yitzchok Statman
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)
- Not enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689790925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 MD RT 3 SOUTH",
"address_2": "SUITE #2",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141333",
"telephone_number": "410-721-5533",
"fax_number": "410-721-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 MD RT 3 SOUTH",
"address_2": "SUITE #2",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141333",
"telephone_number": "410-721-5533",
"fax_number": "410-721-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATMAN",
"first_name": "WARREN",
"name_prefix": "Mr.",
"credential": "ABO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YITZCHOK",
"last_name": "STATMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.