Active NPI
Thomas Larry Warren Jr., MD
- Hematology & Oncology Physician
- Cedar Rapids, IA
National Provider Identifier
1851376404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 30923
- Practice address
- 202 10TH Street SE
Cedar Rapids, IA 52403-2404 - Phone
- (319) 297-2900
- Fax
- (319) 297-2969
- NPI assigned
- Dec 7, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 30923 | IA | Primary |
Addresses
Primary practice location
202 10TH Street SE
Cedar Rapids, IA 52403-2404
Mailing address
PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 398-1583
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2224774 | Medicaid | IA | |
| 39788 | Other | IA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30923 | IA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care of Iowa City LLC | Hematology & Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Iowa City, IA
- NPI 1205908563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1851376404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3178",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524063178",
"telephone_number": "319-398-1583",
"fax_number": "319-399-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 10TH STREET SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032404",
"telephone_number": "319-297-2900",
"fax_number": "319-297-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "THOMAS",
"middle_name": "LARRY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IA",
"license": "30923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2224774",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39788",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.