Keith Warner, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35052130W Issued in OH

Practice address

125 E Broad St
Ste 219
Elyria, OH 44035-6447

Phone

(440) 326-5250

NPI assigned

Jun 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwarner220086@ehrdirect.uhhospitals.org

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.

• Northeast Surgical Wound Care, Inc.

  • Surgery Physician
  • Independence, OH
  • NPI 1649215583
  Medicare reassignment NPD
• Tri-Tech Health PA, LLC

  • Specialist
  • Philadelphia, PA
  • NPI 1518668599

  OH

  Medicare reassignment NPD
• Lee Warner Medical Interventions, LTD.

  • Specialist
  • Hammond, IN
  • NPI 1942240296

  Surgery

  NPD (past) Authorized official
• Northeast Surgical Associates of Ohio Wound Speciality Services LTD

  • Nurse Practitioner
  • Independence, OH
  • NPI 1073767315
  NPD (past)

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1265436729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS",
            "address_2": "SUITE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BROAD ST",
            "address_2": "STE 219",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356447",
            "telephone_number": "440-326-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35052130W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keithwarner@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "630 E River St",
            "city": "Elyria",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440355902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Walters
• Kristin Lynn Wandra
• Abdelkarim Waness, MD
• Kimberly Wanosky, PCC
• Samantha Ward
• Seth Warren, DDS
• James Washington
• Latasha M. Washington
• Veronica Washington
• Tiffany Washkewicz, MPAS, PA-C

• Surgery Physician in Elyria, OH
• Providers in Elyria, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.