Individual provider Active NPI

Anthony Scott Warner, D.O.,M.S.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1326150970
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
5101013174 Issued in MI
Practice address
51863 Schoenherr Rd Ste 101
Shelby Township, MI 48315-2758
Phone
(586) 991-0903
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 5101013174 MI
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 5101013174 MI Primary

Addresses

Primary practice location

51863 Schoenherr Rd Ste 101
Shelby Township, MI 48315-2758

Mailing address

14167 Lakeside Blvd N Ste a
Shelby Township, MI 48315-6075
Phone (586) 991-0903

Other practice location 1

3400 South Washignton
Saginaw, MI 48601-4958
Phone (989) 755-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190308001340 AZ Practitioner - Orthopedic SurgeryPractitioner - Preventive Medicine 0648219295 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013174MIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Arizona PA CurrentSince Jan 7, 2019 Accepting new patients
Pear Tree Medical Clinic P.C. PastSince May 3, 2005 Accepting new patients
Hospital Health Care Inc. Past Accepting new patients

Locations

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1326150970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14167 LAKESIDE BLVD N STE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156075",
            "telephone_number": "586-991-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51863 SCHOENHERR RD STE 101",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152758",
            "telephone_number": "586-991-0903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 South Washignton",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486014958",
            "country_code": "US",
            "telephone_number": "989-755-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ANTHONY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "5101013174",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "5101013174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.