Kelley Mia Warwick, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M6455 Issued in TX

Practice address

1901 SW H K Dodgen Loop
Temple, TX 76502-1814

Phone

(254) 771-8600

NPI assigned

Jun 11, 2007

Last updated

Mar 5, 2008By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment NPD
• Brazos Valley ER, LLC

  dba Physicians PremiER

  • Emergency Care Clinic/Center
  • Bryan, TX
  • NPI 1710417761
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1962605436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 STRATFORD DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023891",
            "telephone_number": "832-647-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SW H K DODGEN LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021814",
            "telephone_number": "254-771-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARWICK",
        "first_name": "KELLEY",
        "middle_name": "MIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M6455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X9735",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186374801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Warfle, PT, DPT
• James Warner, DO
• Brittany E Warren, MS, CCC/SLP
• Rajalakshmi Nair Warrier, MD
• Benjamin Warshawsky, M.D.
• Madeline Washburn-Rodriguez, DO
• Renika S Washington, LVN
• Kayla Washuta, DO
• Nathaniel Tabor Wasson, MD
• Waterford Dental Specialists, PLLC (Waterford Dental Specialists)

• Emergency Medicine Physician in Temple, TX
• Providers in Temple, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.