MEDICARE: DR. THOMAS KENNETH WARCUP D.O.

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	207Q00000X	Family Medicine Physician	DO 00533	RI

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	:	1760433817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS KENNETH WARCUP D.O.

Provider Business Mailing Address
First Line	:	2220 PLAINFIELD PIKE
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02921-2031
Country	:	US
Telephone Number	:	401-585-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 TOLL GATE RD STE 108
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4326
Country	:	US
Telephone Number	:	919-552-8911
Fax Number	:

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

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	05/01/2026

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Directions to “ DR. THOMAS KENNETH WARCUP D.O.” Practice Location

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