Active NPI
Darryl Keef Warner, D,C.
- Sports Physician Chiropractor
- Everett, PA
National Provider Identifier
1114029154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC004738L
- Practice address
- 201 Hospital Dr,
Suite 2
Everett, PA 15537 - Phone
- (814) 623-5592
- Fax
- (814) 623-2449
- NPI assigned
- Sep 1, 2006
- Last updated
- Mar 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC004738L | PA | Primary |
Addresses
Primary practice location
201 Hospital Dr,
Suite 2
Everett, PA 15537
Mailing address
201 Hospital Dr
Suite 2
Everett, PA 15537-7019
Phone (814) 623-5592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000258 | PA | Practitioner - Chiropractic | 4486821162 | Practice locations: Duncansville, PA; Everett, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 Hospital Dr
Everett, PA 15537-7019
Phone (814) 623-5592
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004738L | PA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blair Regenerative Medicine LLC | Current | Accepting new patients | |
| Blair Regenerative Medicine LLC | Current | Accepting new patients | |
| Darryl K. Warner | Past | Accepting new patients |
Locations
1381 Plank Rd
Ste 102
Duncansville, PA 16635
Phone (814) 317-5175
201 Hospital Dr
#2
Everett, PA 15537
Phone (814) 623-5592
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Duncansville, PA
- NPI 1629624689
-
- Family Medicine Physician
- Everett, PA
- NPI 1649882275
-
- Chiropractor
- Everett, PA
- NPI 1619247269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1114029154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HOSPITAL DR",
"address_2": "SUITE 2",
"city": "EVERETT",
"state": "PA",
"postal_code": "155377019",
"telephone_number": "814-623-5592",
"fax_number": "814-623-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HOSPITAL DR,",
"address_2": "SUITE 2",
"city": "EVERETT",
"state": "PA",
"postal_code": "15537",
"telephone_number": "814-623-5592",
"fax_number": "814-623-2449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "DARRYL",
"middle_name": "KEEF",
"name_prefix": "Dr.",
"credential": "D,C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "PA",
"license": "DC004738L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.