Active NPI
Stafford Gay Warren, MD
- Cardiovascular Disease Physician
- Annapolis, MD
National Provider Identifier
1821081126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0067661
- Practice address
- 888 Bestgate Rd
Suite 215
Annapolis, MD 21401-3091 - Phone
- (410) 573-9805
- Fax
- (410) 573-9806
- NPI assigned
- Aug 23, 2005
- Last updated
- May 12, 2011
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0067661 | MD | Primary |
| Interventional Cardiology Physician | 207RI0011X | 10260 | WV |
Addresses
Primary practice location
888 Bestgate Rd
Suite 215
Annapolis, MD 21401-3091
Mailing address
888 Bestgate Rd
Suite 215
Annapolis, MD 21401-3091
Phone (410) 573-9805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417655300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0067661 | MD | MD | Cardiovascular Disease Physician |
| 10260 | WV | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Cardiologic, LLP | Cardiovascular Disease | Current | Accepting new patients |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Associated Radiologists, Inc. | Past | Accepting new patients | |
| Charleston Cardiology Group PLLC | Cardiovascular Disease | Past | Accepting new patients |
| Integrated Health Care Providers | Past | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Annapolis, MD
- NPI 1427109776
-
- Cardiovascular Disease Physician
- Bowie, MD
- NPI 1740354182
-
- Diagnostic Radiology Physician
- Charleston, WV
- NPI 1649275728
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Cardiovascular Disease Physician
- Charleston, WV
- NPI 1770558165
-
dba Orthopedic Trauma Group
- Multi-Specialty Clinic/Center
- Charleston, WV
- NPI 1922123587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1821081126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 BESTGATE RD",
"address_2": "SUITE 215",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013091",
"telephone_number": "410-573-9805",
"fax_number": "410-573-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 BESTGATE RD",
"address_2": "SUITE 215",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013091",
"telephone_number": "410-573-9805",
"fax_number": "410-573-9806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "STAFFORD",
"middle_name": "GAY",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0067661",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WV",
"license": "10260",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417655300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
- Warby Parker Inc.
- Ailsa Helen Ward
- Gordon William Ward Jr., MPT
- Molly E Warnock
- Caitlin Warpinski, CRNP
- Jan Belle Warrington, PSYD
- Mohammed S Warshanna, DMD
- Washington Natural Care Inc (Eastern Acupuncture & Herb Center)
- Washington Nephrology Associates, L.L.P. (Washington Nephrology Associates)
- Victoria Washington-Harper
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.