Individual provider Active NPI

John F Altenburg, MD

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1215120100
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0035287 Issued in FL
Practice address
6101 Webb Rd
Suite #205
Tampa, FL 33615-2872
Phone
(813) 884-2020
Fax
(813) 884-4429
NPI assigned
Aug 23, 2007
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0035287 FL Primary

Addresses

Primary practice location

6101 Webb Rd
Suite #205
Tampa, FL 33615-2872

Mailing address

6101 Webb Rd
Suite #205
Tampa, FL 33615-2872
Phone (813) 884-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000130 FL Practitioner - Ophthalmology 3375722101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0035287FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John F Altenburg, MD, PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1215120100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD",
            "address_2": "SUITE #205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152872",
            "telephone_number": "813-884-2020",
            "fax_number": "813-884-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD",
            "address_2": "SUITE #205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152872",
            "telephone_number": "813-884-2020",
            "fax_number": "813-884-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENBURG",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0035287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.