Active NPI
Walter Janke, MD
- Cardiovascular Disease Physician
- Vero Beach, FL
National Provider Identifier
1205484730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22801
- Practice address
- 1193 South Federal Highway
Vero Beach, FL 32962 - Phone
- (561) 353-1225
- Fax
- (561) 353-9958
- NPI assigned
- Aug 28, 2019
- Last updated
- Aug 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 22801 | FL | Primary |
Addresses
Primary practice location
1193 South Federal Highway
Vero Beach, FL 32962
Mailing address
9960 Central Park Blvd N Ste 450
Boca Raton, FL 33428-1760
Phone (561) 353-1225
Other practice location 1
9960 Central Park Blvd N Ste 450
Boca Raton, FL 33428-1760
Phone (561) 353-1225
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | medcenterinc.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22801 | FL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1205484730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9960 CENTRAL PARK BLVD N STE 450",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281760",
"telephone_number": "561-353-1225",
"fax_number": "561-353-9958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1193 SOUTH FEDERAL HIGHWAY",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32962",
"telephone_number": "561-353-1225",
"fax_number": "561-353-9958"
}
],
"practiceLocations": [
{
"address_1": "9960 Central Park Blvd N Ste 450",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334281760",
"country_code": "US",
"telephone_number": "561-353-1225",
"fax_number": "561-353-9958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANKE",
"first_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "22801",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "medcenterinc.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9960 Central Park Blvd N Ste 450",
"city": "Boca Raton",
"state": "FL",
"country_code": "US",
"postal_code": "334281760",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.