Active NPI
James Dudley Warner, M.D.
- Family Medicine Physician
- Lawrence, KS
National Provider Identifier
1366468696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- KS 04-32933
- Practice address
- 2415 Massachusetts St
Lawrence, KS 66046-4827 - Phone
- (785) 832-4842
- Fax
- (785) 832-4887
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 49207-020 | WI | |
| Family Medicine Physician | 207Q00000X | KS 04-32933 | KS | Primary |
Addresses
Primary practice location
2415 Massachusetts St
Lawrence, KS 66046-4827
Mailing address
8357 Frederick CT
De Soto, KS 66018-7129
Phone (913) 585-9935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS 04-32933 | KS | MD | Family Medicine Physician |
| 49207-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawnee IHS Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawnee, OK
- NPI 1124178017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1366468696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8357 FREDERICK CT",
"city": "DE SOTO",
"state": "KS",
"postal_code": "660187129",
"telephone_number": "913-585-9935",
"fax_number": "785-832-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 MASSACHUSETTS ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660464827",
"telephone_number": "785-832-4842",
"fax_number": "785-832-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "JAMES",
"middle_name": "DUDLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "49207-020",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "KS 04-32933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.
- 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.