Connie J. Warren, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-05-5046 Issued in OH

Practice address

311 Caldwell St
Chillicothe, OH 45601-3332

Phone

(740) 775-6119

Fax

(740) 775-6999

NPI assigned

Jun 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Care of Marysville, LLC

  • Family Medicine Physician
  • Marysville, OH
  • NPI 1770539629
  NPD (past) Authorized official
• Memorial Hospital of Union County

  • Urgent Care Clinic/Center
  • Marysville, OH
  • NPI 1093763757
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1801833504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CALDWELL ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013332",
            "telephone_number": "740-775-6119",
            "fax_number": "740-775-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CALDWELL ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013332",
            "telephone_number": "740-775-6119",
            "fax_number": "740-775-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "CONNIE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-5046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0683336",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Kyle Ward
• Abraham Wardak
• Mary F Ware
• Nicole Warner
• Noah Jacob Warner
• Jessica Warth, SWA, REV, M.A
• Rhonda Lynn Wasch
• Kelly Washam, LISW-S
• Myron Washington, RKT
• Kareem Wasim, PSY.D.

• Family Medicine Physician in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.