DR. GLEN C WARREN (NPI# 1245664382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245664382 |
| Entity Type | Individual |
| Full Name | DR. GLEN C WARREN |
| Credential | M.D. |
| Practice Address |
1040 River Oaks Dr Suite 307 Flowood MS 39232-9530 |
| Practice Telephone | 6012599062 |
| Mailing Telephone | 6012599062 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 04577 | MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982807459 | Glen Frederick Warren Jr. | Optometrist | 823 South Rogers, Springfield, MO 65804 | 2007-06-11 |
| Street Address |
1040 RIVER OAKS DR SUITE 307 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710430533 | Amanda Hyatt | Specialist/Technologist | 1040 River Oaks Dr, Suite 103, Flowood, MS 39232-9530 | 2016-07-28 |
| 1528474780 | Flowood River Oaks Hma Medical Group, LLC | Medical Genetics | 1040 River Oaks Dr, Ste. 101, Flowood, MS 39232-9530 | 2014-07-09 |
| 1245578558 | Mississippi Hma Hospitalists, LLC | Hospitalist | 1040 River Oaks Dr, Suite 103, Flowood, MS 39232-9530 | 2013-01-21 |
| 1558632562 | Lori Young | Registered Nurse | 1040 River Oaks Dr, Suite 302, Flowood, MS 39232-9530 | 2012-01-23 |
| 1497057806 | Flowood River Oaks Hma Medical Group, LLC | Internal Medicine | 1040 River Oaks Dr, Suite 303, Flowood, MS 39232-9530 | 2010-11-18 |
| 1952610826 | The Heart Clinic, LLC | Specialist | 1040 River Oaks Dr, Suite 100 Professional Center, Flowood, MS 39232-9530 | 2010-09-27 |
| 1427290584 | River Oaks Management Company, LLC | Internal Medicine | 1040 River Oaks Dr, Suite 305, Flowood, MS 39232-9530 | 2009-04-03 |
| 1447407895 | Shannon Rives | Nurse Practitioner | 1040 River Oaks Dr, Suite 103, Flowood, MS 39232-9530 | 2008-08-27 |
| 1114173796 | Mary Carter Strong | Nurse Practitioner | 1040 River Oaks Dr, Suite103, Flowood, MS 39232-9530 | 2008-08-14 |
| 1295999472 | Nancy Dorman Md,phd Pllc | Internal Medicine | 1040 River Oaks Dr, Flowood, MS 39232-9530 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952497422 | Charles H Williams | Legal Medicine | 1000 Lakeland Square Ext., Suite 800, Flowood, MS 39232-7649 | 2006-10-04 |
| 1568459089 | River Bend Medical Clinic, Inc | Legal Medicine | 2659 Lakeland Dr, Flowood, MS 39232-9516 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285915686 | William Edward Bowlus | Legal Medicine | 24 Wimbledon Dr, Jackson, MS 39211-2443 | 2011-08-30 |
| 1215193933 | The Clinic At Elm Lake, P.a. | Legal Medicine | 3700 N Frontage Rd, Columbus, MS 39701 | 2008-08-01 |
| 1548315203 | Guardian Angel Healthcare II, Inc. | Legal Medicine | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2007-01-24 |
| 1659466563 | Mid Delta Family Practice Clinic | Legal Medicine | 403 S Davis Ave, Cleveland, MS 38732-3411 | 2006-10-04 |
| 1770596918 | Jessie R Taylor | Legal Medicine | 1423 Palmetto Road, Verona, MS 38879 | 2006-08-15 |
| 1538170683 | Shanti Pandey | Legal Medicine | 821 Main St, Fayette, MS 39069-0008 | 2006-08-11 |
| 1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1184656068 | Robert Allen Smith | Legal Medicine | 1424 N. State St., Ste. 504, Jackson, MS 39202-1658 | 2006-07-07 |
| 1275539017 | Bernard G. De Asis | Legal Medicine | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
| 1619068723 | South Mississippi Intraoperative Monitoring, LLC | Legal Medicine | 101 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-09-27 |
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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.