Peter W. Warner, D.O.
Individual provider Active NPI Hospitalist Physician · Saint Louis, MO
NPI 1093756017 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1093756017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 2002007117 (MO)
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (314) 525-1328
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Anthonys Physician Organization Hospitalist Services LC
Grand Traverse Physician Services PC
Mercy Clinic Adult Hospitalists - St. Louis, LLC
Mercy Clinic Adult Hospitalists - Washington, LLC
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1899
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339
901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8231
Hospital & facility affiliations
- Mercy Hospital St Louis
- Mercy Hospital South
- Munson Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO, AR, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090105000091 | MO | Practitioner - Family Practice | 9133217599 | Reassigns benefits to 7 organizations |
| I20150923000642 | AR | Practitioner - Family Practice | 9133217599 | Reassigns benefits to 1 organization |
| I20241104001861 | MI | Practitioner - Family Practice | 9133217599 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002007117 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians-Michigan, PLLC | Family Medicine | Current |
Accepting new patients |
| Mercy Hospitals East Communities | Current |
Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current |
Accepting new patients | |
| Washington Regional Medical System | Hospitalist | Current |
Accepting new patients |
| Sound Inpatient Physicians - Michigan, PLLC | Family Medicine | Current |
Accepting new patients |
| Grand Traverse Physician Services PC | Family Medicine | Current |
Accepting new patients |
| Sound Physicians of Illinois, LLC | Family Medicine | Current |
Accepting new patients |
| Washington Regional Medical System | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Hospitalist | Current |
Accepting new patients |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Current |
Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| P & a Warner, LLC | Family Medicine | Current |
Accepting new patients |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Hospitalist | Current |
Accepting new patients |
| Mercy Hospitals East Communities | Current |
Accepting new patients | |
| Apogee Medical Group Missouri Inc | Past | Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients | |
| Sjmgroup | Past | Accepting new patients | |
| Washington Regional Medical Center | Past | Accepting new patients | |
| Washington Regional Medical System | Past | Accepting new patients | |
| Mercy Hospitals East Communities | Family Medicine | Past | Accepting new patients |
Locations
12 E Appleby Rd
Fayetteville, AR 72703
Phone (479) 463-4444
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
12 E Appleby Rd
Ste 102
Fayetteville, AR 72703
Phone (479) 463-4746
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- peter.warner.p3@direct.essehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2002007117 | MO | |
| Hospitalist Physician | 208M00000X | 2002007117 | MO | Yes |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
10504 Conway Rd
Saint Louis, MO 63131-2814
Phone (417) 529-1605
Other practice location 1
12655 Olive Blvd Fl 4
Saint Louis, MO 63141-6291
Phone (314) 851-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245828801 | Medicaid | MO |
Other providers in Saint Louis, MO
- Charlene Ann Warner
- Chezna W Warner
- Christine D Warner
- Kendra Warner
- Molly Elizabeth Warner
- Quinn Warner
- Shayna Warner
- Marysa Warnhoff
- Camilla Dorothy Warning
- Naomi Warren-Ross
All providers in Saint Louis, MO · Hospitalist Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.