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Active NPI 1609866219 Individual Practitioner Male Practitioner

Warren Randall Sumner , PA-C

Physician Assistant - Surgical • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Warren Sumner, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Tampa, FL. Practice services are available at 3003 W DR MARTIN LUTHER KING JR BLVD under active NPI credentials.

Frequently performed procedures and clinical services include coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3003 W Dr Martin Luther King Jr Blvd
Mab 2nd Floor

Tampa, FL 336076307

Telephone 8133216580
Fax 8134438185
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
103 Specialists

Practicing in Tampa, FL (1463 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
97.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft
15 15 $7719.00 $225.39
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
14 14 $66.00 $2.36

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA9108734

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License GA 003541

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License GA 003541

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
015768600 (FL)
Medicaid State Provider ID
100001160D (GA)
Medicaid State Provider ID
0155PA (SC)
Commercial Insurance / Payer ID Wellcare
404215 (GA)
Commercial Insurance / Payer ID Amerigroup
01067693 (GA)
Commercial Insurance / Payer ID Rr Medicare
P00679501 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Ashley Kelsey , PA

Physician Assistant - Surgical

NPI 1144337056

Physician Assistant

Audrey Sevilla-Ballereau , PA-C

Physician Assistant - Surgical

NPI 1225213200

Physician Assistant (Certified)

Allison Hardie , FNP

Nurse Practitioner

NPI 1235721549

Family Nurse Practitioner

Mackenzie Saadeh , PA-C

Physician Assistant - Surgical

NPI 1265930267

Physician Assistant (Certified)

Dr. Phillips Harrington , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1407090723

Doctor of Medicine (M.D.)

Seren Wallen , PA-C

Physician Assistant - Surgical

NPI 1447336235

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Physician Assistant (License #003541 in GA)

NPI Profile Active August 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2016

Registered at 3003 W DR MARTIN LUTHER KING JR BLVD, MAB 2ND FLOOR, TAMPA, FL 336076307 (Tel: 8133216580)

📍
Updated Business Mailing Address August 09, 2016

Registered at PO BOX 10744, CLEARWATER, FL 337578744 (Tel: 7275320002)

👤
Provider Name / Credentials Updated August 09, 2016

Recorded as WARREN SUMNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2016

Physician Assistant (License #003541 in GA)

🟢
Initial NPI Registration & Enumeration October 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609866219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2005
Last Update: February 10, 2022
Sole Proprietor: No

Mailing Address

Po Box 10744

Clearwater, FL 337578744

Phone: 7275320002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.