WENDY SUE-ELLEN WARREN (NPI# 1871722470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871722470 |
| Entity Type | Individual |
| Full Name | WENDY SUE-ELLEN WARREN |
| Credential | D.O. |
| Practice Address |
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-5051 |
| Mailing Address |
115 Purple Heart Ave Dover Afb DE 19902-5051 |
| Practice Telephone | 2539681110 |
| Mailing Telephone | 3023468678 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
H0086517 | MD | Allopathic & Osteopathic Physicians |
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
796 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PHYSICIAN AND SURGEON LICENSE | H0086517 | 01 |
| NE | OSTEOPATHIC PHYSICIAN & SURGEON LICENSE | 796 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 Purple Heart Ave, Dover Afb, DE 199025051 | 3023468678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528112166 | Wendy M Warren | Physician Assistant | 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207-4724 | 2007-01-22 |
| 1992707293 | Wendy Warren | Obstetrics & Gynecology | 94 Old Short Hills Rd, Ste 402, Livingston, NJ 07039-5672 | 2005-06-01 |
| 1447658265 | Wendy Warren | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-12-10 |
| 1992836472 | Wendy A Warren | Family Medicine | 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 | 2007-03-08 |
| Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740254 | Dennis Huang | Podiatrist | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2005-06-16 |
| 1891395851 | Juliana Dumayas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0002 | 2020-10-29 |
| 1922658491 | Fatima Hossay Safi | Social Worker | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-17 |
| 1134778095 | Vinzuella Boddie | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-04 |
| 1588219059 | Susan Marie Lopez | Dietitian, Registered | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-08-01 |
| 1174177109 | Bradley Scott Miller | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-07-29 |
| 1437703568 | Alex Alberto Hernandez Vargas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-26 |
| 1427619733 | Dana Michelle Sanchez-terry | Nurse Practitioner | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2019-06-26 |
| 1255998076 | Scott Michael Brown | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 | 2019-05-28 |
| 1861059081 | Nathaniel Alan Castonguay | Licensed Practical Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922417005 | Thomas Boyle Clark IIi | Pathology | 3619 Pacific Ave, Tacoma, WA 98418-7921 | 2014-08-04 |
| 1942268248 | Eric L. Kiesel | Pathology | 3002 N Union Avenue, Tacoma, WA 98407-5940 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1609133396 | Dennis James Wickham | Pathology | 900 W 13th St, Vancouver, WA 98660-2711 | 2012-04-18 |
| 1174752158 | Carl Walter Wigren | Pathology | 1008 W Galer St, Seattle, WA 98119-3238 | 2009-07-10 |
| 1841438090 | Sigmund Menchel | Pathology | 6701 154th Place Se, Bellevue, WA 98006 | 2009-01-27 |
| 1487813747 | Harry Chinchinian | Pathology | 531 Silcott Rd, Clarkston, WA 99403-9784 | 2008-06-03 |
| 1962462713 | Gary Alan Goldfogel | Pathology | 1500 N State St, Bellingham, WA 98225-4551 | 2006-03-24 |
| 1104242882 | Sally Aiken | Pathology | 5901 N Lidgerwood St, Suite 24b, Spokane, WA 99208-5095 | 2014-03-05 |
| 1063598621 | Gina M Fino | Pathology | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2006-10-27 |
| 1578501169 | George Richard Lindholm | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-03 |
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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.