Jeannette G Warner MD PA

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

ME0063433 Issued in FL

Legal business name

JEANNETTE G WARNER MD PA

Practice address

1270 Malabar Rd SE Ste 1
Palm Bay, FL 32907-3407

Phone

(321) 722-1944

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeannette G Warner, MD

Title

President

Phone

(321) 722-1944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Eden

  • Family Nurse Practitioner
  • Satellite BCH, FL
  • NPI 1093106650
  Medicare reassignment NPD

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1700159340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 MALABAR RD SE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073407",
            "telephone_number": "321-722-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 MALABAR RD SE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073407",
            "telephone_number": "321-722-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE G WARNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-722-1944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0063433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey T Obrien MD Inc (The Orthopedic Center)
• Larra Jensen, HCHI, HD

• Allergy Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.