Mark G Warren D P M P a

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 1194 Issued in FL

Legal business name

MARK G WARREN D P M P A

Practice address

5130 Linton Blvd Ste D3
Delray Beach, FL 33484-6595

Phone

(561) 715-3106

Fax

(561) 336-4245

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Mark G Warren, DPMNPI 1457460396

Title

Owner

Phone

(561) 715-3106

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark G Warren, D.P.M

  • Podiatrist
  • Boynton Beach, FL
  • NPI 1457460396
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1801066188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SW 36TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358514",
            "telephone_number": "561-715-3106",
            "fax_number": "561-336-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD STE D3",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846595",
            "telephone_number": "561-715-3106",
            "fax_number": "561-336-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G WARREN D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-715-3106",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04125710-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Castaneda DMD PL
• Lindie-George N Marianah, DC
• Mario Masserano MD PA
• Mark a Herman DMD P.a.
• Mark a Horowitz
• Mark Paris MD Inc.
• David Markowitz, MD
• Etan Marks, D.O.
• Marla Gale PA
• Marlene J. Batavia, P.a.

• Podiatrist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.