DR. JOSEPH L. WARREN (NPI# 1104805944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104805944 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH L. WARREN |
| Credential | D.O. |
| Practice Address |
18101 Oakwood Blvd Dearborn MI 48124-4089 |
| Mailing Address |
38935 Ann Arbor Rd Livonia MI 48150-3354 |
| Practice Telephone | 3135937000 |
| Mailing Telephone | 7346320175 |
| Mailing Fax Number | 7346320182 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
5101015058 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 11-4801126 | 05 | |
| MI | BCBS | 0158213485 | 01 |
| MI | 11-4801108 | 05 | |
| MI | 11-4801135 | 05 | |
| MI | 11-4801082 | 05 | |
| MI | 11-4801117 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679796908 | Joseph Wilburn Warren IIi | Counselor | 6929 Camp Bullis Rd, San Antonio, TX 78256-2334 | 2007-04-11 |
| 1164581757 | Joseph H. Warren | Obstetrics & Gynecology | 222 S Buena Vista St, Redlands, CA 92373-5129 | 2006-12-08 |
| 1992804587 | Joseph Ray Warren Jr. | Physician Assistant | 109 S Sycamore St, Fremont, NC 27830-8710 | 2006-09-21 |
| 1700430410 | Joseph Ryan Warren | Peer Specialist | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2019-07-31 |
| 1700241114 | Joseph Warren II | Social Worker | 7070 Samuel Morse Dr, Columbia, MD 21046-3424 | 2015-12-30 |
| 1013380922 | Joseph Warren Jr. | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-11-02 |
| 1952394058 | Joseph W Warren | Internal Medicine | 2501 N Orange Ave, Suite 537n, Orlando, FL 32804-4603 | 2005-08-24 |
| Street Address |
18101 OAKWOOD BLVD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568036 | Professional Emergency Care, P.C. | Internal Medicine | 18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124-4089 | 2005-06-20 |
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1528665577 | Nadia Farhat | General Acute Care Hospital | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1992302053 | Sara Marquardt | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1790382869 | Jennifer Anne Rotter | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1184230054 | Ashley Stoeckle | Clinical Nurse Specialist | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-09-16 |
| 1841802584 | Lamise Mohana | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-08-22 |
| 1629687058 | Samantha Ross | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-31 |
| 1114535499 | Lauren E Krall | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
| 1649888959 | Layale Makki | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982682449 | Mitchell Goldman | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2006-01-05 |
| 1861470346 | Marwan Jaber | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2006-01-05 |
| 1609854280 | Angel Chudler | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.