Roger Drury Warren, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-11294 Issued in KS

Practice address

205 S Hanover St
Hanover, KS 66945-0038

Phone

(785) 337-2214

Fax

(785) 337-2727

NPI assigned

Jan 27, 2006

Sex

Male

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16855/brand/1/csg/1/fhir/r4

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.

• Hanover Hospital

  • Critical Access Hospital
  • Hanover, KS
  • NPI 1285635425
  NPD

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1902877152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S HANOVER ST",
            "city": "HANOVER",
            "state": "KS",
            "postal_code": "669458924",
            "telephone_number": "785-337-2214",
            "fax_number": "785-337-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S HANOVER ST",
            "city": "HANOVER",
            "state": "KS",
            "postal_code": "669450038",
            "telephone_number": "785-337-2214",
            "fax_number": "785-337-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ROGER",
        "middle_name": "DRURY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-11294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083660B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanover Hospital
• Pierson Hanover Professional Pharmacy
• Aubrie Schaefer, N.P.
• Tyler J Shriver, DO
• Linda Duston Warren, MD

• Family Medicine Physician in Hanover, KS
• Providers in Hanover, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.