Individual provider Active NPI

Jeffrey Warner, DO

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1215014873
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001287 Issued in WA
Practice address
2101 E Yesler Way # 210
Seattle, WA 98122-5959
Phone
(206) 299-1987
Fax
(206) 299-1920
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001287 WA Primary

Addresses

Primary practice location

2101 E Yesler Way # 210
Seattle, WA 98122-5959

Mailing address

2101 E Yesler Way # 210
Seattle, WA 98122-5959
Phone (206) 299-1987

Other identifiers 1

IdentifierTypeStateIssuer
8121576MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20090806000167 WA Practitioner - Family Practice 3779636881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health CentersGroup PAC ID 9739076217, 31 clinicians

Practice addresses (Care Compare)

1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Roots Community Health Family Medicine CurrentSince May 21, 2009 Accepting new patients
Seattle Roots Community Health Current Accepting new patients
Seattle Roots Community Health Family Medicine CurrentSince May 21, 2009 Accepting new patients
Seattle Roots Community Health Past Accepting new patients
Family Health Centers Past Accepting new patients

Locations

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

2101 E Yesler Way
#210
Seattle, WA 98122
Phone (206) 299-1937

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

2410 E Cherry St
Seattle, WA 98122
Phone (206) 299-1900

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

Interoperability endpoints

  • Direct secure messaging: jeffrey.warner.1@19043.direct.athenahealth.com
  • Direct secure messaging: jwarner272621@direct.ochin.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1215014873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY # 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-299-1987",
            "fax_number": "206-299-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY # 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-299-1987",
            "fax_number": "206-299-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JEFFREY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8121576",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.