Provider Demographics
NPI:1366860033
Name:WARNOCK, AARON M SR (DPM)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:WARNOCK
Suffix:SR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1458 W STONES CROSSING RD STE 103
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-8667
Mailing Address - Country:US
Mailing Address - Phone:317-458-8144
Mailing Address - Fax:855-538-3780
Practice Address - Street 1:1458 W STONES CROSSING RD STE 103
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-8667
Practice Address - Country:US
Practice Address - Phone:317-458-8144
Practice Address - Fax:317-458-8144
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-31
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07001256A213E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300013557Medicaid
IN300117765Medicaid