Individual provider Active NPI

Dinah McCarley Warner, M.D.

  • Dermatology Physician
  • Mount Dora, FL
National Provider Identifier
1841229259
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME64542 Issued in FL
Practice address
2850 Morningside Dr
Mount Dora, FL 32757-6610
Phone
(352) 383-0733
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME64542 FL Primary

Addresses

Primary practice location

2850 Morningside Dr
Mount Dora, FL 32757-6610

Mailing address

2850 Morningside Dr
Mount Dora, FL 32757-6610
Phone (352) 383-0733

Other identifiers 1

IdentifierTypeStateIssuer
376522900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120703000197 FL Practitioner - Dermatology 1052576774 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group PA CurrentSince Jun 25, 2012 Accepting new patients
Jewett Orthopaedic Clinic LLC Past Accepting new patients

Locations

521 W State Road 434
Ste 202
Longwood, FL 32750
Phone (407) 332-8080

515 W State Road 434
Ste 210
Longwood, FL 32750
Phone (407) 332-8080

2850 Morningside Dr
Mount Dora, FL 32757
Phone (352) 383-0733

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1841229259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MORNINGSIDE DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576610",
            "telephone_number": "352-383-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MORNINGSIDE DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576610",
            "telephone_number": "352-383-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "DINAH",
        "middle_name": "MCCARLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME64542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376522900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.