Provider Demographics
NPI:1992784516
Name:WARSHAW, GREGG ALAN (MD)
Entity type:Individual
Prefix:
First Name:GREGG
Middle Name:ALAN
Last Name:WARSHAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC FAMILY MEDICINE CTR
Mailing Address - Street 2:590 MANNING DRIVE
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7596
Mailing Address - Country:US
Mailing Address - Phone:984-974-0210
Mailing Address - Fax:
Practice Address - Street 1:UNC FAMILY MEDICINE CTR
Practice Address - Street 2:590 MANNING DRIVE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7596
Practice Address - Country:US
Practice Address - Phone:984-974-0210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.052032207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0604886Medicaid
OHP00379590Medicare PIN
A16261Medicare UPIN
OHWA4104393Medicare PIN
OH4104394Medicare PIN
OHWA4104392Medicare PIN
OHWA7368401Medicare PIN
OH4104394Medicare PIN