DR. EDDIE WARREN (NPI# 1104935691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104935691 |
| Entity Type | Individual |
| Full Name | DR. EDDIE WARREN |
| Credential | M.D. |
| Practice Address |
215 Perry Hill Rd Montgomery AL 36109-3725 |
| Mailing Address |
215 Perry Hill Road Montgomery AL 36109 |
| Practice Telephone | 3342724670 |
| Practice Fax Number | 3342736203 |
| Mailing Telephone | 3342724670 |
| Mailing Fax Number | 3342736203 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 025063 | GA | Other Service Providers |
| Street Address |
215 PERRY HILL RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36109-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642161 | Lydia Lane Jackson | Physician Assistant | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2005-10-07 |
| 1275142267 | Perry Salter Thompson | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-27 |
| 1881212538 | John Thomas Weaver Jr. | Respiratory Therapist, Registered | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-09 |
| 1639797376 | Samuel David Drew Sr. | Respiratory Therapist, Registered | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-09 |
| 1043838907 | Valerie T Mcghee | Respiratory Therapist, Registered | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-08 |
| 1992323802 | Robin Lee Vuckovich | Respiratory Therapist, Registered | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-07 |
| 1063030971 | Bridgette Elaine Luna | Respiratory Therapist, Certified | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-07 |
| 1346864584 | Luke Michael Sicilia | Student in an Organized Health Care Education/Training Program | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-06-03 |
| 1225652456 | Roger Allen Hunt Jr. | Student in an Organized Health Care Education/Training Program | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-06-03 |
| 1780218818 | Nicole Dean | Nurse Practitioner | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
| 1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
| Find all providers in zip 36109 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561745 | Kenneth Wayne Roach | Specialist | 15650 Walden Rd Apt 4302, Montgomery, TX 77356-1780 | 2019-04-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1881042760 | Hairzone | Specialist | 3009 Mcgehee Rd, B, Montgomery, AL 36111-2202 | 2016-06-01 |
| 1043675051 | Robert Wareham | Specialist | 105 Forest Wind Cir, Montgomery, TX 77316-6846 | 2015-12-17 |
| 1497129159 | Annail Reese Fort | Specialist | 3009b Mcgehee Rd, Montgomery, AL 36111-2202 | 2015-11-18 |
| 1699155721 | Maryethel Nutt | Specialist | 53 Quarry Rd, Montgomery, NY 12549-2524 | 2015-06-03 |
| 1225421274 | Next Level Healthcare Consultants LLC | Specialist | 47 S Wind Dr, Montgomery, TX 77356-8232 | 2015-03-16 |
| 1710388483 | Yolanda Flynn | Specialist | 3957 Kimberly St, Montgomery, AL 36116-4515 | 2014-09-11 |
| 1366864647 | Rushmore Surgical Assistants | Specialist | 10906 Scenic Dr, Montgomery, TX 77356-5795 | 2014-01-06 |
| 1538503305 | Committed To Assisting Professionals | Specialist | 12002 Brightwood Dr, Montgomery, TX 77356-7920 | 2013-04-24 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36109 |
Please comment or provide details below to improve the information on DR. EDDIE WARREN.
| 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.