NPIMap

Organization Active NPI

Warren Physician Services

  • Family Medicine Physician
  • Lacey, WA
National Provider Identifier
1710219522
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WARREN PHYSICIAN SERVICES
Practice address
5420 22ND Ave SE
Lacey, WA 98503-2804
Phone
(360) 491-5055
NPI assigned
Feb 3, 2010
Last updated
May 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Dr. Craig M Warren, D.O.
Title
Owner
Phone
(360) 704-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X WA Primary

Addresses

Primary practice location

5420 22ND Ave SE
Lacey, WA 98503-2804

Mailing address

1401 Marvin Rd NE
Ste 307 PMB 266
Lacey, WA 98516-5749
Phone (360) 491-5055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1710219522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MARVIN RD NE",
            "address_2": "STE 307 PMB 266",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165749",
            "telephone_number": "360-491-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 22ND AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032804",
            "telephone_number": "360-491-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-704-9116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.