Robert W Miner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01064141A Issued in IN

Practice address

1818 Carew St
Fort Wayne, IN 46805-4788

Phone

(260) 446-2234

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Robert William Leyton Miner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1922156512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 KENNEDY DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158047",
            "telephone_number": "260-446-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 CAREW ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054788",
            "telephone_number": "260-446-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01064141A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "MINER",
            "middle_name": "WILLIAM LEYTON",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abbie Lois Mincks, MD
• Mind Over Matter M O M Cleaning Services LLC
• Mindful Emotions Counseling, LLC
• Mindy Tiburcio LLC
• Nathan Reig Miner, PMHNP
• Sarah E. Miner, AUD
• Laura Anne Minich, MS, CCC-SLP
• Natosha E. Minick, NP
• Mitchell Minix, OD
• Tyler Minnich

• Psychiatry Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.