Individual provider Active NPI

Eugene Peter Warnick III, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Easton, PA
National Provider Identifier
1396374708
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD496072 Issued in PA
Practice address
3794 Hecktown Rd Ste 130
Easton, PA 18045-2355
Phone
(610) 402-8900
NPI assigned
Apr 7, 2020
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 81169 CT
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD496072 PA Primary
Surgery Physician 208600000X 81169 CT

Addresses

Primary practice location

3794 Hecktown Rd Ste 130
Easton, PA 18045-2355

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622

Other names 1

  • Dr. Gino Peter Warnick III Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200701000457 PA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 9830512383

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD496072PAMDSports Medicine (Orthopaedic Surgery) Physician
81169CTMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1396374708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3794 HECKTOWN RD STE 130",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452355",
            "telephone_number": "610-402-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNICK",
        "first_name": "EUGENE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "81169",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD496072",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "81169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINO",
            "last_name": "WARNICK",
            "middle_name": "PETER",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.