DR. WALTER R BEAVER M.D.
NPI 1417927211
Orthopaedic Surgery in Johnson City, TN

Active since January 24, 2006
3 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604(423) 434-6300(423) 434-6312 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Walter R Beaver M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTER R BEAVER M.D. (NPI 1417927211) is an individual orthopaedic surgery provider in Johnson City, Tennessee, licensed in Tennessee (9453) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1417927211
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. WALTER R BEAVERCredential: M.D.
Location Address3 PROFESSIONAL PARK DR, SUITE 21Johnson City, TN 37604-6529
Mailing Address3 Professional Park Dr, Suite 21Johnson City, TN 37604-6529 · (423) 434-6300 · Fax (423) 434-6312
Fax(423) 434-6312
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMay 5, 2008
NPI 1417927211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TN · 9453
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3 PROFESSIONAL PARK DR, Johnson City, TN 37604

Other Identifiers 5

Medicaid5903974NC
Medicare PIN3172495TN
Medicare UPINB03538TN
Medicare PIN200039201TN
Medicaid3172495TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3 PROFESSIONAL PARK DR, SUITE 31
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Beaver's NPI number?

The NPI number for Walter Beaver is 1417927211. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Walter Beaver located?

Walter Beaver practices at 3 Professional Park Dr Suite 21, Johnson City, TN 37604. The listed phone number is (423) 434-6300.

What is Walter Beaver's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Walter Beaver was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.