MEDICARE: WARREN C HAMMERT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	2205611	NY
2	208200000X	Plastic Surgery Physician	220561	NY
3	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	220561	NY
4	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	220561	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710940788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARREN C HAMMERT MD

Provider Business Mailing Address
First Line	:	5601 ARRINGDON PARK DR STE 300
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5677
Country	:	US
Telephone Number	:	919-385-4260
Fax Number	:	919-684-1147

Provider Business Practice Location Address
First Line	:	5601 ARRINGDON PARK DR STE 300
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5677
Country	:	US
Telephone Number	:	919-385-4260
Fax Number	:	919-684-1147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	05/26/2026

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