Joseph Warner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61131215 Issued in WA

Practice address

3137 Park Grove LN SE
Olympia, WA 98501-4635

Phone

(910) 584-2038

NPI assigned

Feb 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Jagannath LLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1700038239
  Medicare reassignment
• Sona LLC of Texas

  • Urgent Care Clinic/Center
  • Schertz, TX
  • NPI 1598087207
  Medicare reassignment

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1336531763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 PARK GROVE LN SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014635",
            "telephone_number": "910-584-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 PARK GROVE LN SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014635",
            "telephone_number": "910-584-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61131215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Warehime
• Robert S Wark, MD
• Angela L. Warner-Rein, RN
• Caleb Warner, RN
• Jeff S. Warner, PT
• Michael Warner, LMP
• Charli Warren
• Chazz Cezanne Warren
• Craig M Warren, D.O.
• Marissa Dolores Warren

• Physician Assistant in Olympia, WA
• Providers in Olympia, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.