Organization Active NPI

Altens Womens Health, LLC

  • Obstetrics & Gynecology Physician
  • Cambridge, OH
National Provider Identifier
1558773432
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35067443 Issued in OH
Legal business name
ALTENS WOMENS HEALTH, LLC
Practice address
64979 Old Twenty One Rd
Cambridge, OH 43725-9619
Phone
(740) 432-1050
Fax
(740) 432-1070
NPI assigned
May 27, 2014
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Dr. Kevin W Alten, M.D.NPI 1871563023
Title
Physician
Phone
(740) 432-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35067443 OH Primary

Addresses

Primary practice location

64979 Old Twenty One Rd
Cambridge, OH 43725-9619

Mailing address

65007 Old 21 Rd
Cambridge, OH 43725
Phone (740) 432-1050

Other identifiers 1

IdentifierTypeStateIssuer
2027550MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140930000088 OH Part B Supplier - Clinic/Group Practice 6305066101 Receives reassigned benefits from 1 practitioner
Practice locations: Cambridge, OH

National Provider Directory

National Provider Directory

Locations

64979 Old Twenty One Rd
Cambridge, OH 43725
Phone (740) 432-1050

65007 Old Twenty One Rd
Cambridge, OH 43725
Phone (740) 432-1050

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1558773432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65007 OLD 21 RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "43725",
            "telephone_number": "740-432-1050",
            "fax_number": "740-432-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64979 OLD TWENTY ONE RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259619",
            "telephone_number": "740-432-1050",
            "fax_number": "740-432-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTENS WOMENS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "ALTEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-432-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35067443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.