DR. KEITH ADRIAN WARREN (NPI# 1790757631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790757631 |
| Entity Type | Individual |
| Full Name | DR. KEITH ADRIAN WARREN |
| Credential | M.D. |
| Practice Address |
10100 W 119th St Suite 260 Overland Park KS 66213-1604 |
| Practice Telephone | 9133396970 |
| Practice Fax Number | 9133396974 |
| Mailing Telephone | 9133396970 |
| Mailing Fax Number | 9133396974 |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 106616 | MO | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 04-25152 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUECROSS BLUESHIELD | 21234042 | 01 |
| KS | 100163470B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390790 | Keith L Warren Sr. | Counselor | 7400 Huntington Dr, 7400 Huntington Dr, Columbus, OH 43235 | 2018-09-19 |
| 1649356031 | Keith Clements Warren | Psychologist | 5020 Lakeland Cir, Suite B, Waco, TX 76710-2996 | 2006-10-27 |
| 1174958458 | Keith A Warren | Pharmacist | 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018 | 2013-09-05 |
| 1275790552 | Keith Warren | Specialist | 214 King St, Ogdensburg, NY 13669-1142 | 2008-05-22 |
| 1164493854 | Keith Reynolds Warren | Internal Medicine | 25 N Winfield Rd, Winfield, IL 60007-3361 | 2006-01-30 |
| Street Address |
10100 W 119TH ST SUITE 260 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974100 | Calvin E Beck | Family Medicine | 10100 W 119th St, Suite 150, Overland Park, KS 66213-1604 | 2005-09-30 |
| 1518122910 | Overland Park Surgical Specialties, LLC | Family Medicine | 10100 W 119th St, Ste 150, Overland Park, KS 66213-1604 | 2008-07-24 |
| 1497956650 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10100 W 119th St, Suite 150, Overland Park, KS 66213-1604 | 2007-05-29 |
| 1215071477 | Lab One Inc | Clinical Medical Laboratory | 10100 W 119th St, Overland Park, KS 66213-1604 | 2007-02-19 |
| 1548344039 | Ashley Kimmel | Family Medicine | 10100 W 119th St, Ste 150, Overland Park, KS 66213-1604 | 2006-10-24 |
| 1013984129 | Warren Retina Associates, Pa | Ophthalmology | 10100 W 119th St, Suite 260, Overland Park, KS 66213-1604 | 2006-03-07 |
| 1801884473 | Deborah S Sawyer | Physical Therapy Assistant | 10100 W 119th St, Suite 200, Overland Park, KS 66213-1604 | 2005-10-07 |
| 1528056199 | Darrel D Mills | Physical Therapy Assistant | 10100 W 119th St, Suite 200, Overland Park, KS 66213-1604 | 2005-10-07 |
| 1245228816 | Carla Luffman | Physical Therapy Assistant | 10100 W 119th St, Suite 150, Overland Park, KS 66213-1604 | 2005-10-07 |
| 1316934631 | Joseph J Vogelsberg | Physical Therapist | 10100 W 119th St, Suite 200, Overland Park, KS 66213-1604 | 2005-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235473448 | Prn Imaging, LLC | Ophthalmology | 10851 Mastin St Ste 100, Overland Park, KS 66210-1608 | 2012-11-15 |
| 1861744716 | Prn Billing LLC | Ophthalmology | 10851 Mastin St, Suite 100, Overland Park, KS 66210-1769 | 2012-10-02 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1215034277 | Jemshed A Khan | Ophthalmology | 9650 Nall Ave, Overland Park, KS 66207-2952 | 2006-09-20 |
| 1649290255 | Heart of America Eye Care Pa | Ophthalmology | 10985 Cody St Ste 120, Overland Park, KS 66210-1243 | 2006-07-20 |
| 1356390546 | Michael Craig Stiles | Ophthalmology | 7200 W 129th St, Overland Park, KS 66213-2624 | 2006-05-08 |
| 1083686729 | Timothy B Cavanaugh | Ophthalmology | 6200 W 135th St, Suite 300, Overland Park, KS 66223-4844 | 2006-02-06 |
| 1659343499 | John Douglas Hunkeler | Ophthalmology | 7950 College Blvd, Overland Park, KS 66210 | 2006-02-06 |
| 1205830627 | Jason E Stahl | Ophthalmology | 8300 College Blvd., Suite 201, Overland Park, KS 66210 | 2005-06-13 |
| 1952305526 | Daniel S Durrie | Ophthalmology | 8300 College Blvd Ste 201, Overland Park, KS 66210-2812 | 2005-06-10 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.