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WARREN MEDICAL GROUP SPECIALTY SERVICES
NPI 1609167667
Surgery in Warren, PA

Active since April 26, 2011CLIA 39D1076701 · Waiver
2 W CRESCENT PARK, WARREN, PA 16365(814) 723-4973(814) 723-6095 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 11, 2020, Mar 3, 2020, Dec 23, 2019 (3 updates tracked since 2019).

About Warren Medical Group Specialty Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARREN MEDICAL GROUP SPECIALTY SERVICES (NPI 1609167667) is a healthcare organization registered as a surgery in Warren, Pennsylvania and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Julie Snyder, Exec Dir Of Fiscal Services, as its authorized official.

NPPES Registry Identity

NPI1609167667
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameWARREN GENERAL HOSPITAL
Location Address2 W CRESCENT PARKWarren, PA 16365-2111
Mailing Address2 Crescent Park WestWarren, PA 16365-2111 · (814) 723-3300 · Fax (814) 723-8515
Phone(814) 723-4973
Fax(814) 723-6095
Organization SubpartNo
Authorized OfficialJulie SnyderExec Dir Of Fiscal Services · (814) 723-3300
Enumeration DateApril 26, 2011
Last NPPES UpdateMay 11, 20203 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1609167667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · OS015203
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD010966E (PA)
Also ListedUrologyTaxonomy 208800000X · License MD432670 (PA)
2 W CRESCENT PARK, Warren, PA 16365
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Other Names 1

Doing Business AsWarren Medical Group Specialty Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1076701

Warren Medical Group · Warren, PA
Active · expires Nov 19, 2027
CLIA Number39D1076701
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorDr. Mason Tootell
Laboratory Phone(814) 723-0407
Laboratory LocationWarren Medical Group2 W Crescent Park, Warren, PA 16365
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE CUMMINGS PHARMD
Pharmacist
2 W CRESCENT PARK
WARREN, PA 16365
Warren County (814) 723-3300
KERRY ELAINE BUSSOLETTI PA
Physician Assistant
2 W CRESCENT PARK
WARREN, PA 16365
Warren County (814) 723-2510
NEXTGEN ANESTHESIA LLC
Anesthesiology
2 W CRESCENT PARK
WARREN, PA 16365
Warren County (330) 268-5648
WARREN GENERAL HOSPITAL
Anesthesiology
2 W CRESCENT PARK
WARREN, PA 16365
Warren County (814) 723-4973
MANU KAUSHIK MD
Family Medicine
2 W CRESCENT PARK
WARREN, PA 16365
Warren County (814) 723-3300
MRS. MELISSA ECKMAN NP-C
Nurse Practitioner
2 W CRESCENT PARK
WARREN, PA 16365
Warren County (814) 723-0407
MACKENZIE TRAY DO
Emergency Medicine
2 W CRESCENT PARK
WARREN, PA 16365
Warren County (814) 723-4973
DR. DOUGLAS F MEGILL M.D.
Emergency Medicine
2 W CRESCENT PARK
WARREN, PA 16365
Warren County (814) 723-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Warren General Hospital's NPI number?

The NPI number for Warren General Hospital is 1609167667. It was assigned to this organization in the NPPES registry on April 26, 2011. The provider is doing business as Warren Medical Group Specialty Services.

Where is Warren General Hospital located?

Warren General Hospital is located at 2 W Crescent Park, Warren, PA 16365. The listed phone number is (814) 723-4973.

What is Warren General Hospital's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Warren General Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1076701) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Warren General Hospital was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.