Active NPI
Robert S Warner, DO
- Otolaryngology Physician
- Lewiston, ME
National Provider Identifier
1528026523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 1020
- Practice address
- 12 High St
Ste 102
Lewiston, ME 04240-7676 - Phone
- (207) 784-4539
- Fax
- (207) 784-2868
- NPI assigned
- May 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 1020 | ME | Primary |
Addresses
Primary practice location
12 High St
Ste 102
Lewiston, ME 04240-7676
Mailing address
12 High St
Ste 102
Lewiston, ME 04240-7676
Phone (207) 784-4539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020 | ME | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Iowa ENT Center PLLC | Otolaryngology | Past | Accepting new patients |
| ENT Clinic of Iowa, PC | Otolaryngology | Past | Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
364 Main St
Lewiston, ME 04240
Phone (207) 795-5646
12 High St
Ste 102
Lewiston, ME 04240
Phone (207) 783-2300
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Otolaryngology Physician
- West Des Moines, IA
- NPI 1033162706
-
- Otolaryngology Physician
- West Des Moines, IA
- NPI 1528314960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1528026523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"address_2": "STE 102",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407676",
"telephone_number": "207-784-4539",
"fax_number": "207-784-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"address_2": "STE 102",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407676",
"telephone_number": "207-784-4539",
"fax_number": "207-784-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ME",
"license": "1020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.