Walter a. Minaert, MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

122792 Issued in NY

Legal business name

WALTER A. MINAERT, MD PC

Practice address

21017 Nys Rte 12F
Watertown, NY 13601-1078

Phone

(315) 782-1990

Fax

(315) 782-1037

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Walter August Minaert Jr., M.D.

Title

President/Physician

Phone

(315) 782-1990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1619124724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21017 NYS RTE 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011078",
            "telephone_number": "315-782-1990",
            "fax_number": "315-782-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21017 NYS RTE 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011078",
            "telephone_number": "315-782-1990",
            "fax_number": "315-782-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER A. MINAERT, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "MINAERT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "315-782-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "122792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co. (Walgreens #10239)
• Mallory Walker, AU.D.
• Susan M Walker, NP C
• Erika Wallgren, LMSW
• Laurie A Walsh, RN
• Crystal J Walters, RN
• Jennifer Walters
• Yuejun Wang, AU.D
• Anna Azalia Ward
• Ian P. Ward, DMD

• 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 Mar 12, 2009; 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.