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MR. WARREN RANDALL SUMNER PA-C
NPI 1609866219
Physician Assistant - Surgical in Tampa, FL

Active since October 25, 2005PECOS Enrolled
3003 W DR MARTIN LUTHER KING JR BLVD, MAB 2ND FLOOR, TAMPA, FL 33607(813) 321-6580(813) 443-8185 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Aug 9, 2016 (2 updates tracked since 2016).

About Mr. Warren Randall Sumner Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WARREN RANDALL SUMNER PA-C (NPI 1609866219) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9108734) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609866219
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. WARREN RANDALL SUMNERCredential: PA-C
Location Address3003 W DR MARTIN LUTHER KING JR BLVD, MAB 2ND FLOORTampa, FL 33607-6307
Mailing AddressPo Box 10744Clearwater, FL 33757-8744 · (727) 532-0002 · Fax (727) 266-4943
Phone(813) 321-6580
Fax(813) 443-8185
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
✔ NPI 1609866219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in FL · PA9108734✔ Licensed in GA · 003541
Also ListedPhysician AssistantTaxonomy 363A00000X · License 003541 (GA)
3003 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
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Other Identifiers 6

Other01067693GA · Amerigroup
Medicaid100001160DGA
Medicaid0155PASC
Other404215GA · Wellcare
OtherP00679501GA · Rr Medicare
Medicaid015768600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Warren Randall Sumner Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR KRIZAN
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JESSE BLAIR
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JAD HAMDEN MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
DR. GAGAN GNANESWARA MIDATHALA MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANTONIO FRANCISCO PEREZ
Psychiatry & Neurology (Psychiatry)
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANGALINA QUINONES DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
SAMANTHA BOGARD DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
GARRETT FORMAN MD, MPH
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Warren Sumner's NPI number?

The NPI number for Warren Sumner is 1609866219. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Warren Sumner located?

Warren Sumner practices at 3003 W Dr Martin Luther King Jr Blvd Mab 2nd Floor, Tampa, FL 33607. The listed phone number is (813) 321-6580.

What is Warren Sumner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Warren Sumner enrolled in Medicare?

Yes. Warren Sumner is registered in the Medicare PECOS enrollment system.

What insurance does Warren Sumner accept?

Health plans from AvMed and Priority Health list Warren Sumner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Warren Sumner was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.