Minor Everett Ward MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G23027 Issued in CA

Legal business name

MINOR EVERETT WARD MD INC

Practice address

150 Catherine LN
Suite J
Grass Valley, CA 95945-5719

Phone

(530) 272-2257

Fax

(530) 478-9827

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Laura Joann Ward

Title

Office Manager

Phone

(530) 265-2627

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1881882173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959590206",
            "telephone_number": "530-265-2627",
            "fax_number": "530-478-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN",
            "address_2": "SUITE J",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-272-2257",
            "fax_number": "530-478-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOR EVERETT WARD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-265-2627"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G23027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G230270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CE358A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt Miller, RD
• Walter Scott Miller, MD
• Karen L Milman, M.D.
• Kelly Miner-Gann
• Veronica S Minier, MD
• Frank Weber Minor, M.D.
• Lyndsy Marie Mirasola, LCSW
• Mahshideh Mirzadeh
• John Douglas Mitchell, DC
• MJ Silva Medical Corporation

• Surgery Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.