North Country Physicians, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTH COUNTRY PHYSICIANS, PLLC

Practice address

21017 Nys RT 12F
Watertown, NY 13601-1078

Phone

(315) 782-1990

Fax

(315) 782-0347

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter August Minaert Jr., MDNPI 1851328025

Title

Owner/President

Phone

(315) 782-1990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter August Minaert Jr., MD

  • Surgery Physician
  • Watertown, NY
  • NPI 1851328025
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528150737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21017 NYS RT 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011078",
            "telephone_number": "315-782-1990",
            "fax_number": "315-782-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21017 NYS RT 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011078",
            "telephone_number": "315-782-1990",
            "fax_number": "315-782-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINAERT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "315-782-1990",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Country Midwifery, PLLC
• North Country Neurology PC
• North Country Orthopaedic Ambulatory Surgery Center LLC
• North Country Orthopaedic Group PC
• North Country Physical Therapy
• North Country Transitional Living Services, Inc
• Northen Lights Chiropractic (Larry V Silverstein)
• Northern Lights Chiropractic
• Northern New York Cerebral Palsy Assoc.
• Northern New York Cerebral Palsy Association

• Surgery Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.