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DR. RUTH CALLAWAY WARREN DO NPI 1124096185


NPI Information

NPI: 1124096185
Provider Name: DR. RUTH CALLAWAY WARREN, DO
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 884-3135
Get Directions

DR. Ruth Callaway Warren, DO is a medical oncology internal medicine in Green Bay, WI with 25 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. DR. Ruth Callaway Warren, DO NPI is 1124096185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1999

The provider's business location address is:

1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303-216
Phone: (920) 884-3135
Fax: (920) 884-3144

The NPI 1124096185 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 12/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical Oncology5101018539MICHIGANNo
2207RX0202XInternal MedicineMedical Oncology50362WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11124096185OTHERWISCONSINBCBS ANTHEM
21124096185MEDICAIDMICHIGAN
3100004011MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.