Jeremy Patrick Warner, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036.122969 Issued in IL

Practice address

436 W. Frontage Road
Suite 200
Northfield, IL 60093-3083

Phone

(847) 558-8888

Fax

(847) 984-1880

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Plastic and Reconstructive Surgery

Education

George Washington University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warner Aesthetic and Reconstructive InstituteGroup PAC ID 4284966110, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Warner Aesthetic & Reconstructive Institute

  • Plastic Surgery Physician
  • Northfield, IL
  • NPI 1720500085
  Medicare reassignment Care Compare group NPD Authorized official
• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1881637098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W. FRONTAGE ROAD",
            "address_2": "SUITE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933083",
            "telephone_number": "847-558-8888",
            "fax_number": "847-984-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W. FRONTAGE ROAD",
            "address_2": "SUITE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933083",
            "telephone_number": "847-558-8888",
            "fax_number": "847-984-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JEREMY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036.122969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "036-122-969",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881637098",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Moulton Walton, PH.D.
• Wanderlust Eyecare, P.C.
• James Parker Ward, LCSW
• Meleta Jacobs Ward, LIC CLIN SOC WORKER
• Warner Aesthetic & Reconstructive Institute
• Antonia Warren, LCSW
• Michelle Warzeck
• Daniel Philip Wasserman, MD
• Linda J Watson, PSYD
• Anna G Weinberg Kliner, FNP-C

• Plastic Surgery Physician in Northfield, IL
• Providers in Northfield, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
• 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.