Individual provider Active NPI

Sara Ashley Warren, D.O.

  • Family Medicine Physician
  • Osage Beach, MO
National Provider Identifier
1952742595
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016032222 Issued in MO
Practice address
3870 Columbia Ave
Osage Beach, MO 65065-8689
Phone
(877) 406-2662
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016032222 MO Primary

Addresses

Primary practice location

3870 Columbia Ave
Osage Beach, MO 65065-8689

Mailing address

PO Box 777
Richland, MO 65556-0777
Phone (877) 406-2662

Other practice location 1

304 W Washington Ave
Richland, MO 65556-7101
Phone (573) 765-5141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005000123 MO Practitioner - Family Practice 0042508129 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Medical Center, Inc. CurrentSince Sep 2, 2016 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Jan 8, 2021 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Jan 8, 2021 Accepting new patients

Locations

860 Lynn St
Lebanon, MO 65536
Phone (417) 334-8337

3870 Columbia Ave
Osage Beach, MO 65065
Phone (573) 302-7490

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1952742595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "877-406-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 COLUMBIA AVE",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658689",
            "telephone_number": "877-406-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 W Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MO",
            "postal_code": "655567101",
            "country_code": "US",
            "telephone_number": "573-765-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SARA",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016032222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.