Organization Active NPI

Roger W. Altman,M.D.PA

  • MOHS-Micrographic Surgery Physician
  • Palm Harbor, FL
National Provider Identifier
1164605846
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
41151 Issued in FL
Legal business name
ROGER W. ALTMAN,M.D.PA
Doing business as
Roger W. Altman,M.D.PA
Practice address
32615 US 19 N
Suite 1
Palm Harbor, FL 34684-3176
Phone
(727) 785-7667
Fax
(727) 787-4543
NPI assigned
Dec 17, 2007
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Dr. Roger W Altman, M.D. PANPI 1003898099
Title
Doctor
Phone
(727) 785-7667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 41151 FL Primary

Addresses

Primary practice location

32615 US 19 N
Suite 1
Palm Harbor, FL 34684-3176

Mailing address

32615 US 19 N
Suite 1
Palm Harbor, FL 34684-3176
Phone (727) 785-7667

Other names 1

  • ROGER W. ALTMAN,M.D.PA Doing business as

National Provider Directory

National Provider Directory

Locations

32615 US Highway 19 N
Ste 1
Palm Harbor, FL 34684
Phone (727) 605-2763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1164605846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32615 US 19 N",
            "address_2": "SUITE 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843176",
            "telephone_number": "727-785-7667",
            "fax_number": "727-787-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32615 US 19 N",
            "address_2": "SUITE 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843176",
            "telephone_number": "727-785-7667",
            "fax_number": "727-787-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W. ALTMAN,M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "727-785-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PA"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "41151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROGER W. ALTMAN,M.D.PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.