Provider Demographics
NPI:1467516567
Name:WARNER, MEREDITH ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:ANN
Last Name:WARNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9373 BARINGER FOREMAN RD,
Mailing Address - Street 2:BLDG 2
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-6200
Mailing Address - Country:US
Mailing Address - Phone:225-754-8888
Mailing Address - Fax:225-755-2147
Practice Address - Street 1:9373 BARINGER FOREMAN RD,
Practice Address - Street 2:BLDG 2
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-6200
Practice Address - Country:US
Practice Address - Phone:225-754-8888
Practice Address - Fax:225-755-2147
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24539207X00000X, 207XX0004X
TX9959207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAPO1336783OtherRAILROAD MEDICARE PTAN
LA274108YPYPOtherMEDICARE PTAN
LA1556491Medicaid
LA6813110001OtherDME POS PTAN