MEDICARE: JOHN F 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	207R00000X	Internal Medicine Physician	0101016636	VA
2	207RI0200X	Infectious Disease Physician	0101016636	VA

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

General Provider Information

NPI Number	:	1467427583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F WARNER MD

Provider Business Mailing Address
First Line	:	3241 WESTERN BRANCH BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5260
Country	:	US
Telephone Number	:	757-686-3508
Fax Number	:	757-686-0541

Provider Business Practice Location Address
First Line	:	208 E PLUME ST
Second Line	:	STE 213
City	:	NORFOLK
State	:	VA
Zip	:	23510-1757
Country	:	US
Telephone Number	:	757-686-3508
Fax Number	:	757-686-0541

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	11/11/2010

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