Dean Edmund Altenhofen, M.D., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME0046652 Issued in FL

Legal business name

DEAN EDMUND ALTENHOFEN, M.D., P.A.

Practice address

6110 N Davis Hwy
Pensacola, FL 32504-6950

Phone

(850) 475-0902

Fax

(850) 475-0908

NPI assigned

Nov 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dean E Altenhofen, M.D.

Title

Physician

Phone

(850) 475-0902

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1003193756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046950",
            "telephone_number": "850-475-0902",
            "fax_number": "850-475-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046950",
            "telephone_number": "850-475-0902",
            "fax_number": "850-475-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN EDMUND ALTENHOFEN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "ALTENHOFEN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-475-0902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0046652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047401100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF  FLORIDA",
            "identifier": "02245",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "59146654",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny N De la Garza
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• Adrian Victor De Moya, DMD, MSD
• Atticus Lawton Deacon, DMD
• Deaf and Hard of Hearing Services of the Emerald Coast, Inc.
• Darcy Rochelle Dean, LICSW
• David Dean, ED.D.
• Dominique Dean
• Heather Dean, ARNP-C
• Joshua Steven Dean, FNP-C

• All providers in Pensacola, FL
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.