Active NPI
James W Warren, MD
- Diagnostic Radiology Physician
- Harrisburg, PA
National Provider Identifier
1972597045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD026416E
- Practice address
- 4518 Union Deposit Rd
Harrisburg, PA 17111 - Phone
- (717) 652-5840
- Fax
- (717) 652-8152
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD026416E | PA | Primary |
Addresses
Primary practice location
4518 Union Deposit Rd
Harrisburg, PA 17111
Mailing address
4520 Union Deposit Road
Harrisburg, PA 17111
Phone (717) 652-6105
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009072610020 | Medicaid | PA | |
| 0009072310021 | Medicaid | PA | |
| 0009072610015 | Medicaid | PA | |
| 0009072610017 | Medicaid | PA | |
| 0009072610001 | Medicaid | PA | |
| 300057789 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristan Radiology Specialists, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Pottsville Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Frank Olney & Rudy Nicolas PTRS | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Pottsville, PA
- NPI 1013978170
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1366711673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1972597045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 UNION DEPOSIT ROAD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17111",
"telephone_number": "717-652-6105",
"fax_number": "717-652-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4518 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17111",
"telephone_number": "717-652-5840",
"fax_number": "717-652-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "JAMES",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD026416E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009072610020",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009072310021",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009072610015",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009072610017",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009072610001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300057789",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.