1740208859 NPI number — DR. CARLEEN TALBOT WARNER MD

Table of content: SANDRA A. COLLINS (NPI 1902407224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740208859 NPI number — DR. CARLEEN TALBOT WARNER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WARNER
Provider First Name:
CARLEEN
Provider Middle Name:
TALBOT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TALBOT
Provider Other First Name:
CARLEEN
Provider Other Middle Name:
DONELLE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1740208859
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 746722
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30374-6722
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-733-9730
Provider Business Mailing Address Fax Number:
312-929-0373

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1113 CARLISLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17404-4939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-200-1567
Provider Business Practice Location Address Fax Number:
717-674-6145
Provider Enumeration Date:
07/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD422909 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100494 . This is a "GEISINGER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50083204 . This is a "CAPITAL BC-WMG VGFM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50084414 . This is a "CAPITAL BC-WMG WRC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P006240 . This is a "GATEWAY-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20037636 . This is a "AH MERCY-WMG EYFM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1428576 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 101060552 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 154948 . This is a "UNISON-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 107616 . This is a "JOHNS HOPKINS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2128198 . This is a "MAMSI-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7726905 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20084607 . This is a "AH MERCY-WMG RC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 261037 . This is a "UNISON-WMG VGFM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 263748 . This is a "UNISON-WMG RC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 642254 . This is a "CAREFIRST MD BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 20037638 . This is a "AH MERCY-WMG WHEATLYN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50036851 . This is a "CAPITAL BC-WMG WHEATLYN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50036853 . This is a "CAPITAL BC-WMG EYFM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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