Active NPI
John Movius Warren Jr., M.D.
- Gynecology Physician
- Easley, SC
National Provider Identifier
1699965715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 8415
- Practice address
- 403 Hillcrest Dr
Suite a
Easley, SC 29640-1207 - Phone
- (864) 855-2737
- Fax
- (864) 855-2221
- NPI assigned
- Jul 25, 2007
- Last updated
- Jan 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 8415 | SC | Primary |
Addresses
Primary practice location
403 Hillcrest Dr
Suite a
Easley, SC 29640-1207
Mailing address
403 Hillcrest Dr
Suite a
Easley, SC 29640-1207
Phone (864) 855-2737
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8415 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Gynecology | Past | Accepting new patients |
| Baptist Easley | Past | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients |
Interoperability endpoints
- john.warren.1@15910.direct.athenahealth.com
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1699965715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 HILLCREST DR",
"address_2": "SUITE A",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401207",
"telephone_number": "864-855-2737",
"fax_number": "864-855-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 HILLCREST DR",
"address_2": "SUITE A",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401207",
"telephone_number": "864-855-2737",
"fax_number": "864-855-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "JOHN",
"middle_name": "MOVIUS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "SC",
"license": "8415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.