Zachary Bryant Warnock, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-11906 Issued in ID

Practice address

1951 Bench Rd
Suite B
Pocatello, ID 83201-2013

Phone

(208) 238-1000

Fax

(208) 238-0009

NPI assigned

Jun 15, 2011

Last updated

May 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Albany Medical College of Union University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heritage Home Health Home health agency, Pocatello, ID, CCN 137117
• Heritage Hospice Hospice, Pocatello, ID, CCN 131568
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zachary.warnock.1@13153.direct.athenahealth.com
• Direct secure messaging: zachary.warnock.1@16258.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Heritage Home Health LLC

  • Home Health Agency
  • Pocatello, ID
  • NPI 1396074027

  Contracted Managing Employee

  CMS ownership
• Heritage Home Health, LLC

  dba Heritage Hospice

  • Community Based Hospice Care Agency
  • Pocatello, ID
  • NPI 1629319280

  Contracted Managing Employee

  CMS ownership

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.

• Health West, Inc.

  dba Health West Preston Clinic

  • Federally Qualified Health Center (FQHC)
  • Preston, ID
  • NPI 1033595541
  Medicare reassignment Care Compare group NPD
• Family Practice Group, P.a.

  dba InterMountain Medical Clinic

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1205869310
  Medicare reassignment NPD
• Family Practice Group, P.a.

  dba Intermountain Medical Clinic

  • Cardiac Rehabilitation Clinic/Center
  • Pocatello, ID
  • NPI 1912723214
  NPD
• Health West, Inc.

  dba Health West Pocatello Clinic

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1154320752

  Family Medicine

  NPD
• Health West, Inc.

  dba Health West Aberdeen Clinic

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, ID
  • NPI 1295734796

  Family Medicine

  NPD
• Health West, Inc.

  dba Health West Downey Clinic

  • Federally Qualified Health Center (FQHC)
  • Downey, ID
  • NPI 1588666945

  Family Medicine

  NPD
• Health West, Inc.

  dba Health West American Falls Clinic

  • Federally Qualified Health Center (FQHC)
  • American Falls, ID
  • NPI 1629077235

  Family Medicine

  NPD
• Health West, Inc.

  dba Sryinga Elementary School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1740143882
  NPD
• Pocatello Health Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pocatello, ID
  • NPI 1154089126
  NPD
• Pocatello Health Services, LLC

  dba Portneuf Medical Practices

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1215165485
  NPD
• Pocatello Health Services, LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1689802852
  NPD
• Pocatello Hospital LLC

  • Internal Medicine Physician
  • Pocatello, ID
  • NPI 1760610935
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heritage Home Health LLC

  • Home Health Agency
  • Pocatello, ID
  • NPI 1396074027
  Care Compare affiliation
• Heritage Home Health, LLC

  dba Heritage Hospice

  • Community Based Hospice Care Agency
  • Pocatello, ID
  • NPI 1629319280
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Medical Center

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1164717419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BENCH RD",
            "address_2": "SUITE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012013",
            "telephone_number": "208-238-1000",
            "fax_number": "208-238-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BENCH RD",
            "address_2": "SUITE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012013",
            "telephone_number": "208-238-1000",
            "fax_number": "208-238-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNOCK",
        "first_name": "ZACHARY",
        "middle_name": "BRYANT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Ward
• Kevin Wesley Ward, PT, DPT
• Robert E Ward III, DC, NMD
• Shayla F Ward, LPC
• Abigail Warner, PT, DPT
• Carley Alison Warren
• Wynnona Sarah Warren, PHARMD
• Cassidy B Waterman, CRNA
• Austin R Waters
• Richard A Wathne, MD

• Family Medicine Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.

Verify at the official NPI Registry.