Tyler L Warnecke (NPI# 1245664184, PAC ID# 2668608969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245664184 |
| PAC ID by PECOS | 2668608969 |
| Professional Enrollment ID | I20150428001615 |
| Full Name | Tyler L Warnecke |
| Organization Legal Name | SUMMIT RADIOLOGY PC |
| Address |
7900 W Jefferson Blvd 104 Interventional Clinic Fort Wayne IN 46804-4128 |
| Phone Number | 2604357951 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143295410 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150091 | PARKVIEW HUNTINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 | 2604321568 | SUMMIT RADIOLOGY PC |
| 7900 W Jefferson Blvd, 104 Interventional Clinic, Fort Wayne, IN 46804-4128 | 2604357951 | SUMMIT RADIOLOGY PC |
| 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2602039600 | INNOVATIVE HOSPITAL CARE, LLC |
| 7952 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2602039600 | INNOVATIVE HOSPITAL CARE, LLC |
| 7970 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2602039600 | INNOVATIVE HOSPITAL CARE, LLC |
| Organization Legal Name | SUMMIT RADIOLOGY PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahdy Messiha | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Edward Kwang Yi | Diagnostic Radiology | Summit Radiology PC | 141 Lanipo Dr, Kailua, HI 96734-3228 |
| Erik J Bekkers | Diagnostic Radiology | Summit Radiology PC | 209 Marmona Dr, Menlo Park, CA 94025-2953 |
| Marc A Thomas | Diagnostic Radiology | Summit Radiology PC | 9901 Trailwood Dr, Suite 1020, Las Vegas, NV 89134-6680 |
| Vivek Sharma | Diagnostic Radiology | Summit Radiology PC | 38 Overlook Rd, Alpine, NJ 07620-1066 |
| Andrew V Barger | Diagnostic Radiology | Summit Radiology PC | 724 Lisboa Ct, Walnut Creek, CA 94598-4430 |
| Benjamin Y Chen | Diagnostic Radiology | Summit Radiology PC | 41 Modena, Irvine, CA 92618-0104 |
| Hassan B Semaan | Diagnostic Radiology | Summit Radiology PC | 5409 County Rd, Suite 1, West Liberty, OH 43357-9531 |
| Andre B Stovall | Diagnostic Radiology | Summit Radiology PC | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Lisa R Stanley | Nurse Practitioner | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Street Address |
7900 W JEFFERSON BLVD 104 INTERVENTIONAL CLINIC |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-4128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gita Singh | Obstetrics/gynecology | Northeast Indiana Urology. P.C. | 7900 W Jefferson Blvd, Suite 301, Fort Wayne, IN 46804-4128 |
| Ashish Sharma | Gastroenterology | Lutheran Medical Group LLC | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 |
| Jacqueline A Scher | Nurse Practitioner | Lutheran Medical Group LLC | 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128 |
| Justin Brown | Nurse Practitioner | Lutheran Medical Group LLC | 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128 |
| Kendall Ray | Registered Dietitian Or Nutrition Professional | Lutheran Medical Group LLC | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 |
| Mary K. Renzi | Physician Assistant | Lutheran Medical Group LLC | 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128 |
| Meletios S Karas | Endocrinology | Lutheran Medical Group LLC | 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128 |
| Constantine G Saites | General Surgery | Lutheran Medical Group LLC | 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128 |
| Glenn L Goldstein | Colorectal Surgery (proctology) | 7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128 | |
| Jonathan D Walker | Ophthalmology | Allen County Retinal Surgeons, P.C. | 7900 W Jefferson Blvd, Suite 300, Fort Wayne, IN 46804-4128 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT WAYNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tyler L Warnecke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.