Walter R Earnest, DPM

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

PO1229 Issued in FL

Legal business name

WALTER R EARNEST, DPM

Practice address

2751 Coral Reef Way
Tavares, FL 32778-5733

Phone

(407) 782-6382

NPI assigned

May 29, 2014

Last updated

May 29, 2014By 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

Dr. Walter Ray Earnest, DPMNPI 1558751362

Title

Doctor of Podiatric Medicine

Phone

(407) 782-6382

Specialties & licenses 1

Addresses

Other names 1

• Walter R Earnest, DPM Former legal business name

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 Ray Earnest, DPM

  • Primary Podiatric Medicine Podiatrist
  • Tavares, FL
  • NPI 1558751362
  NPD (past) Authorized official

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1861804544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 CORAL REEF WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785733",
            "telephone_number": "407-782-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 CORAL REEF WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785733",
            "telephone_number": "407-782-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER R EARNEST, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "EARNEST",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "407-782-6382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "PO1229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter R Earnest, DPM",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarah E. Waldrop, R.N. ,CRNFA
• Walgreen Co (Walgreens #12105)
• Walgreen Co (Walgreens #04648)
• Bernice L Walker
• Allison Marie Wallum, PA-C
• Patrick Joseph Ward, SS, LMFT,LMHC,SAP
• Waterman Anesthesiology Group PA
• Waterman SNF Operations LLC (Solaris Healthcare Waterman)
• Tamara C Watkins
• John Thomas Watson, M.D.

• Physical Disabilities Residential Treatment Facility in Tavares, FL
• Providers in Tavares, FL by specialty
• Physical Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.