Leo Warren MD PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

R7N81 Issued in MO

Legal business name

LEO WARREN MD PC

Practice address

2638 Highway 109
101
Wildwood, MO 63040-1161

Phone

(636) 821-2500

NPI assigned

Jul 3, 2008

Last updated

Jul 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leo Warren, MD

Title

Physician

Phone

(636) 821-2500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1912160433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 HIGHWAY 109",
            "address_2": "101",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401161",
            "telephone_number": "636-821-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 HIGHWAY 109",
            "address_2": "101",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401161",
            "telephone_number": "636-821-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO WARREN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-821-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "R7N81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lakey, LPC
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• Amanda N Lawrence, PA-C
• Jana Leabig
• LH Chiropractic LLC
• Collette T. Lucas, DDS
• Rachael Grace Macgregor, DPT, DMT, FAAOMPT
• Elicia Malak, PHARMD
• Jessica Mathews, MA, MS

• Preferred Provider Organization in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.