Provider Demographics
NPI:1487744280
Name:FERRIS, WARREN ORRIN (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:ORRIN
Last Name:FERRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:WARREN
Other - Middle Name:ORRIN
Other - Last Name:FERRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3305 NORTH LEISURE WORLD BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906
Mailing Address - Country:US
Mailing Address - Phone:301-598-1554
Mailing Address - Fax:301-598-1569
Practice Address - Street 1:3305 NORTH LEISURE WORLD BOULEVARD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906
Practice Address - Country:US
Practice Address - Phone:301-598-1554
Practice Address - Fax:301-558-1509
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD31918207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD607100700Medicaid
127365L41Medicare ID - Type Unspecified
MD607100700Medicaid