Active NPI
Steven B Warren, MEDICAL DOCTOR
- Adult Reconstructive Orthopaedic Surgery Physician
- Pinellas Park, FL
National Provider Identifier
1841272663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- ME60200
- Practice address
- 4820 Park Blvd N
Pinellas Park, FL 33781-3534 - Phone
- (727) 209-6677
- NPI assigned
- Nov 17, 2005
- Last updated
- Apr 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ME60200 | FL | Primary |
Addresses
Primary practice location
4820 Park Blvd N
Pinellas Park, FL 33781-3534
Mailing address
6500 66TH St
Pinellas Park, FL 33781-5030
Phone (727) 347-1286
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12250 | Other | FL | BLUE CROSS BLUE SHIELD |
| 054688700 | Medicaid | FL | |
| 200009551 | Other | FL | RAILROAD MEDICARE |
| 240603 | Other | FL | AVMED |
| 4312608 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|
| ME60200 | FL | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Braun MD PLLC | Current | Accepting new patients | |
| Bay Area Orthopaedic Specialists LLC | Past | Accepting new patients |
Locations
4820 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 209-6677
4820 Park Blvd N
Ste 1
Pinellas Park, FL 33781
Phone (727) 209-6677
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJHCBD
Organizations & group practices 2
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 Bay Area Orthopaedics
- Sports Medicine (Orthopaedic Surgery) Physician
- Pinellas Park, FL
- NPI 1205357092
-
- Orthopaedic Trauma Physician
- Pinellas Park, FL
- NPI 1932617529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1841272663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 66TH ST",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815030",
"telephone_number": "727-347-1286",
"fax_number": "727-345-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 PARK BLVD N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813534",
"telephone_number": "727-209-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "STEVEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MEDICAL DOCTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "FL",
"license": "ME60200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12250",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054688700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200009551",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "240603",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4312608",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.