DR. WALTER AUGUST MINAERT JR. (NPI# 1851328025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851328025 |
| Entity Type | Individual |
| Full Name | DR. WALTER AUGUST MINAERT JR. |
| Credential | MD |
| Practice Address |
21017 State Route 12f Watertown NY 13601-1078 |
| Practice Telephone | 3157821990 |
| Practice Fax Number | 3157821037 |
| Mailing Telephone | 3157821990 |
| Mailing Fax Number | 3157821037 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1227821 | NY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 122792 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00585011 | 05 | |
| DEA | AM7456379 | 01 |
| Street Address |
21017 STATE ROUTE 12F |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366874703 | Jessica Kovall | Physician Assistant | 21017 State Route 12f, Watertown, NY 13601-1098 | 2013-08-08 |
| 1467534396 | Thomas U. Moody Sr. | Physician Assistant | 21017 State Route 12f, Watertown, NY 13601-1078 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 1992097703 | Gregory Mark Gerrish | Surgery | 401 9th Ave. Nw, Prairie Lakes Hospital, Watertown, SD 57201-1623 | 2011-05-12 |
| 1578886933 | Daniel Adam Bryden | Surgery | 428 Washington St. Suite 1, Samaritan Medical Practice General Surgery, Watertown, NY 13601 | 2010-03-12 |
| 1619124724 | Walter A. Minaert, Md PC | Surgery | 21017 Nys Rte 12f, Watertown, NY 13601-1078 | 2008-08-20 |
| 1154472124 | Alvin Maloney, M.d. | Surgery | 428 Washington St Suite 1, Watertown, NY 13601 | 2007-01-16 |
| 1528150737 | North Country Physicians, Pllc | Surgery | 21017 Nys Rt 12f, Watertown, NY 13601-1078 | 2006-09-28 |
| 1699881573 | James Stillerman | Surgery | 165 Coleman Ave, Watertown, NY 13601-2217 | 2006-08-22 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| 1801834023 | Robert S Nierman | Surgery | 705 Mt. Auborn Street, Tufts Health Plan, Watertown, MA 02472 | 2006-06-02 |
| 1942293188 | Alvin Hugh Andrew Maloney | Surgery | 26347 State Route 3, Watertown, NY 13601-1749 | 2005-08-23 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.