Active NPI
Warren T Kwok, M.D.
- Family Medicine Physician
- Olive Branch, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19093
- Practice address
- 8990 Germantown Rd
Olive Branch, MS 38654-8532 - Phone
- (662) 893-1160
- Fax
- (662) 893-1166
- NPI assigned
- Jul 1, 2006
- Last updated
- Mar 18, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27217 | TN | |
| Family Medicine Physician | 207Q00000X | 19093 | MS | Primary |
Addresses
Primary practice location
8990 Germantown Rd
Olive Branch, MS 38654-8532
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19093 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Minor Medical Centers Inc | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Health Services, Inc. of Mississippi | Past | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
8990 Germantown Rd
Olive Branch, MS 38654
Phone (662) 893-1160
670 N Germantown Pkwy
Ste 18
Cordova, TN 38018
Phone (901) 753-7686
3295 Poplar Ave
Ste 105
Memphis, TN 38111
Phone (901) 327-8188
350 N Humphreys Blvd
Fl 4
Memphis, TN 38120
Phone (901) 227-0497
Interoperability endpoints
- wkwok3994@direct.bmhcc.org
Organizations & group practices 3
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.
-
dba Baptist Minor Medical Center
- Internal Medicine Physician
- Memphis, TN
- NPI 1881640118
Family Medicine, MS
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1760411813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8990 GERMANTOWN RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548532",
"telephone_number": "662-893-1160",
"fax_number": "662-893-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWOK",
"first_name": "WARREN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "27217",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "19093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.