Michael Nathen Warren, MPAS, PA-C
Michael Nathen Warren, MPAS, PA-C is a Physician Assistant in Fayetteville, New York. Qualified in 2018, 8 years ago. Practices with Fife Dermatology Utah, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 8
- Licensed in
- UT
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
212 Highbridge StFayetteville, NY 13066-1981
Phone: (315) 637-9116
Fax: (315) 637-0436
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 8177613-1206 (UT) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 8177613-4810 (UT) |
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1114329810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MPAS , PA-C |
| Sole proprietor | No |
| NPI enumerated | September 24, 2014 |
| Last updated in NPPES | September 8, 2021 |
| Certification date | September 8, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Fife Dermatology Utah — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fayetteville
-
Michael C Hoalcraft
4 Hanson Way, Fayetteville, NY 13066-2208 · (315) 663-8241