Michael Alt DO PSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MICHAEL ALT DO PSC

Practice address

2934 Breckenridge LN Ste 2
Louisville, KY 40220-3903

Phone

(502) 454-7871

Fax

(502) 454-7872

NPI assigned

Apr 16, 2008

Last updated

Apr 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael AltNPI 1740227255

Title

Owner

Phone

(502) 897-5997

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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.

• Michael Alt, DO

  • Neurology Physician
  • Louisville, KY
  • NPI 1740227255
  Medicare reassignment NPD Authorized official
• Krista Brooks-Horrar, MD

  • Neurology Physician
  • Nashville, TN
  • NPI 1568405017
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1508030032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 BRECKENRIDGE LN STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203903",
            "telephone_number": "502-454-7871",
            "fax_number": "502-454-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 BRECKENRIDGE LN STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203903",
            "telephone_number": "502-454-7871",
            "fax_number": "502-454-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ALT DO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "ALT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-897-5997"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64022452",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50018842",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarwat Nadeem Mian, M.D.
• Seema Mian
• Zoha Mian
• Ross F Micciche, MD
• Michael a Barnett
• Michael Grass (Valley Station Chiropractic)
• Michael J. Doyle MD PLLC
• Michael L Sturgeon DMD PSC
• Michael R Kowalski DC PLLC (Knobview Family Chiropractic)
• Michael R Kowalski LLC

• Neurology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.