MEDICARE: CHRISTOPHER JOHN WARNIMONT 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	208000000X	Pediatrics Physician	95-00759	NC
2	207R00000X	Internal Medicine Physician	95-00759	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00457709	OTHER	NC	RAILROAD MEDICARE
6	P00165221	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	66568863	OTHER	CHAMPUS
3	0402116	OTHER	UNITED HEALTHCARE
4	2624329	OTHER	AETNA HMO OPOS
5	58459	OTHER	MEDCOST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	5296039	OTHER	AETNA PPO POS
9	8119782	OTHER	MAMSI
10	85749	OTHER	BCBS
11	10527	OTHER	PARTNERS

General Provider Information

NPI Number	:	1760485486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JOHN WARNIMONT MD

Provider Business Mailing Address
First Line	:	PO BOX 751803
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1803
Country	:	US
Telephone Number	:	336-766-0547
Fax Number	:	336-766-0549

Provider Business Practice Location Address
First Line	:	105 STADIUM OAKS DR
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-8962
Country	:	US
Telephone Number	:	336-766-0547
Fax Number	:	336-766-0549

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/28/2020

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Directions to “ CHRISTOPHER JOHN WARNIMONT MD” Practice Location

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