Warren General Hospital
Organization Active NPI Medical Oncology Physician · Warren, PA
NPI 1962444729 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1962444729
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 490401 (PA)
- Legal business name
- WARREN GENERAL HOSPITAL
- Practice address
- 105 Lee Street
Warren, PA 16365-2114 - Phone
- (814) 726-1786
- Fax
- (814) 723-0414
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Julie Snyder
- Title
- Exec Dir Fiscal Services
- Phone
- (814) 723-3300
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 9
Practitioners 102
-
Dale L McNett, M.D.
-
Gladys Onojobi, M.D.
-
Valeriy Sedov, M.D.
-
Melissa D Shene, CRNP
-
Khanh Thi Nha Vu, M.D.
-
Bernard Eden, MD
-
Simon Levi Amsdell, M.D.
-
Heather Ann Bazurto, FNP-C
-
Andrew Timothy Braun, P.A.-C.
-
Megan Sue Church, DO
-
Tiffany E Cummings, APRN
-
Tina Marie Daerr, CRNP
-
Angela M Damore, BN, RN, MSN, FNP-C
-
Valerie R. Dunn, M.D.
-
Melissa Eckman, NP-C
-
Lonnie L Heeter, CRNP
-
Paige Humphrey, PA-C
-
Abraham S Kibbey, PA-C
-
Haylee Nicole Mague, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Warren General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (55%) | Sep 1, 2018 |
| Warren General Hospital RHC Sugar Grove |
Rural health clinic | 5% Or Greater Direct Ownership Interest (55%) | Sep 1, 2018 |
| Warren General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (55%) | Sep 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040514000024 | PA | Part B Supplier - Clinic/Group Practice | 4880501402 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Warren, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician |
207RX0202X | 490401 | PA | Yes |
Addresses
Primary practice location
105 Lee Street
Warren, PA 16365-2114
Mailing address
2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-3300
Other practice location 1
965 Shamrock Ln
Corry, PA 16407-9121
Phone (814) 726-1786
Other practice location 2
2 Crescent Park W
Warren, PA 16365-0068
Phone (814) 726-1786
Other practice location 3
900 Chestnut Street Ext # A
Bradford, PA 16701-2298
Phone (814) 726-1786
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56609 | Other | PA | UNISON |
| 1423929 | Other | PA | HIGHMARK BCBS |
Other names
- Cancer Care Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | warrengeneralhospital@directaddress.net |
Other providers in Warren, PA
- Warren General Hospital
- Warren General Hospital
- Warren General Hospital
- Warren General Hospital
- Warren General Hospital
- Warren General Hospital
- Warren General Hospital
- Warren Healthcare Associates, Inc
- Warren Ms LLC
- Warren Obstetrics and Gynecology
All providers in Warren, PA · Medical Oncology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.