SANDRA M. WARREN (NPI# 1578890646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578890646 |
| Entity Type | Individual |
| Full Name | SANDRA M. WARREN |
| Credential | PA-C |
| Practice Address |
25 Monument Rd Ste 105 York PA 17403-5049 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178517575 |
| Practice Fax Number | 7178125154 |
| Mailing Telephone | 7178517575 |
| Mailing Fax Number | 7178125154 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2017-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA054246 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054246 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD-FREEDOM BLUE | 2133744 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2339 S George St, York, PA 174035009 | 7178516207 | 7177413027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313695 | Sandra Lynn Warren | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028-2329 | 2019-02-25 |
| 1770840407 | Sandra Marcela Warren | Preventive Medicine | 7408 Lake Worth Rd, Suite 700, Lake Worth, FL 33467-2502 | 2012-04-19 |
| Street Address |
25 MONUMENT RD STE 105 |
| City | YORK |
| State | PA |
| Zip Code | 17403-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649739 | John S. Monk Jr. | Surgery | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2005-06-14 |
| 1942720297 | Kathryn Anne Eckert | Social Worker | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2017-06-27 |
| 1386021640 | Emily Sachs | Nutritionist | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2015-05-06 |
| 1205103520 | Kelly L Marsteller | Dietitian, Registered | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2011-12-01 |
| 1699071043 | Amanda R Kolesar Hoon | Nutritionist | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2011-02-02 |
| 1609037712 | Matthew Brian Smith | Internal Medicine | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2008-06-20 |
| 1629236898 | James Patrick Ryan V | Surgery | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2008-05-24 |
| 1447379367 | Minnie Taw | Internal Medicine | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2007-03-29 |
| 1114088408 | Wellspan Medical Group | Family Medicine | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153650 | Hannah Christine Kowalewski | Physician Assistant | 1765 Hillock Ln, York, PA 17403-4033 | 2020-08-03 |
| 1306461959 | Brandon Rauhauser | Physician Assistant | 1921 Worth St, York, PA 17404-5230 | 2020-06-09 |
| 1629337902 | Shannon N Moreau | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2012-05-08 |
| 1205117363 | Emily Macik | Physician Assistant | 1001 S George St Fl 3, York, PA 17403-3676 | 2011-09-02 |
| 1366769085 | David Arthur Hamel | Physician Assistant | 85 Brixham Rd, York, ME 03909-5342 | 2010-04-21 |
| 1649448127 | Lauralee Brooke Trump | Physician Assistant | 2532 Knobhill Rd, York, PA 17403-4796 | 2008-02-18 |
| 1699886069 | Cynthia F Helm | Physician Assistant | 1796 3rd Ave, York, PA 17403-1913 | 2006-08-31 |
| 1154393320 | Juliann Pandelidis | Physician Assistant | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-02-02 |
| 1740280031 | Charlotte S. Greene | Physician Assistant | 15 Hospital Dr, York, ME 03909-1011 | 2005-07-28 |
| 1306446166 | Kathryn M Fossaceca | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-29 |
| Find all providers in YORK | ||||
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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.