Individual provider Active NPI

Mark Lawrence Warren, PA-C

  • Surgical Physician Assistant
  • Madison, WI
National Provider Identifier
1730502048
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3279-23 Issued in WI
Practice address
1 S Park St
6TH Floor
Madison, WI 53715-1375
Phone
(608) 287-2500
Fax
(608) 287-2550
NPI assigned
Jan 23, 2014
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3279-23 WI Primary

Addresses

Primary practice location

1 S Park St
6TH Floor
Madison, WI 53715-1375

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402002455 WI Practitioner - Physician Assistant 8820229982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 287-2770

20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

251 2ND St
Reedsburg, WI 53959-1610
Phone (608) 524-4334

2977 County Hwy CX
Portage, WI 53901-9271
Phone (608) 287-2770

301 E 2ND St
Richland Center, WI 53581-1900
Phone (608) 647-6321

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

600 N 8TH St
Mount Horeb, WI 53572-1870
Phone (608) 287-2770

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. CurrentSince Dec 29, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 1, 2014 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 1, 2014 Accepting new patients
Southwest Health Center, Inc. CurrentSince Dec 29, 2018 Accepting new patients

Locations

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1 S Park St
Fl 6
Madison, WI 53715
Phone (608) 287-2500

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

251 2nd St
Reedsburg, WI 53959
Phone (608) 524-4334

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1730502048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S PARK ST",
            "address_2": "6TH FLOOR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151375",
            "telephone_number": "608-287-2500",
            "fax_number": "608-287-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MARK",
        "middle_name": "LAWRENCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "3279-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.