MEDICARE: DR. RICHARD T WARNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	031501	CT
2	207L00000X	Anesthesiology Physician	175840-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225023351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD T WARNER MD

Provider Business Mailing Address
First Line	:	P.O. BOX 550, 2 CATHARINE STREET
Second Line	:	CATSKILL ANESTHESIC ASSOCIATES, LLP
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12602
Country	:	US
Telephone Number	:	866-885-2318
Fax Number	:	860-282-0170

Provider Business Practice Location Address
First Line	:	10 HEALTHY WAY, RTE 209
Second Line	:	ELLENVILLE REGIONAL HOSPITAL
City	:	ELLENVILLE
State	:	NY
Zip	:	12428-5612
Country	:	US
Telephone Number	:	895-647-6400
Fax Number	:	860-282-0170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	03/09/2012

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