Active NPI
Priscilla Lydia Warnock, M.D.
- Physician Assistant
- Millersville, MD
National Provider Identifier
1982640702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0001680
- Practice address
- 8601 Veterans Hwy
Suite 204
Millersville, MD 21108-1547 - Phone
- (410) 729-0424
- Fax
- (410) 729-0492
- NPI assigned
- Jun 21, 2006
- Last updated
- Apr 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0001680 | MD | Primary |
Addresses
Primary practice location
8601 Veterans Hwy
Suite 204
Millersville, MD 21108-1547
Mailing address
PO Box 64042
Baltimore, MD 21264-4042
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002 | Other | MD | BRAVO/ELDER HEALTH |
| 69933 | Other | MD | AMERIGROUP |
| 970006233 CC0691 | Other | MD | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0001680 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Washington Professional Services Inc. | Current | Accepting new patients | |
| Arundel Physicians Associates, LLC | Past | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Past | Accepting new patients |
Locations
9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930
8601 Veterans Hwy
Ste 204
Millersville, MD 21108
Phone (410) 553-8092
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Millersville, MD
- NPI 1851318943
-
- Internal Medicine Physician
- Millersville, MD
- NPI 1396762274
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1982640702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64042",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 VETERANS HWY",
"address_2": "SUITE 204",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081547",
"telephone_number": "410-729-0424",
"fax_number": "410-729-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNOCK",
"first_name": "PRISCILLA",
"middle_name": "LYDIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0001680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO/ELDER HEALTH",
"identifier": "6002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "69933",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "970006233 CC0691",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.