Individual provider Active NPI

Peter Q Warinner, M.D.

  • Clinical Neurophysiology Physician
  • Lynnfield, MA
National Provider Identifier
1447214283
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
208060 Issued in MA
Practice address
200 Broadway Ste 203
Lynnfield, MA 01940-2349
Phone
(781) 237-0070
Fax
(781) 237-0090
NPI assigned
Apr 17, 2006
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 208060 MA
Clinical Neurophysiology Physician 2084N0600X 208060 MA Primary

Addresses

Primary practice location

200 Broadway Ste 203
Lynnfield, MA 01940-2349

Mailing address

200 Broadway Ste 203
Lynnfield, MA 01940-2349
Phone (781) 237-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20031208000471 MA Practitioner - Neurology 9133025679 Practice locations: Lynnfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Broadway
Suite 203
Lynnfield, MA 01940-2349
Phone (781) 237-0070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208060MAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Primary Care PLLC PastSince Oct 27, 2024 Accepting new patients
Gigi N. Girgis, M.D. Past Accepting new patients
Newton-Wellesley Neurology Associates, P.C. Neurology PastSince Mar 9, 2020 Accepting new patients
Wellesley Primary Care Medicine, PC PastSince Dec 29, 2008 Accepting new patients
Pain and Wellness Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pwarinner@direct.iuhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1447214283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROADWAY STE 203",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402349",
            "telephone_number": "781-237-0070",
            "fax_number": "781-237-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY STE 203",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402349",
            "telephone_number": "781-237-0070",
            "fax_number": "781-237-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARINNER",
        "first_name": "PETER",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "208060",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MA",
            "license": "208060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

Verify at the official NPI Registry.