Suzanne E. Alt, D.O., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MO-R9G62 Issued in MO

Legal business name

SUZANNE E. ALT, D.O., LLC

Practice address

2605 N Baltimore St
Kirksville, MO 63501-5116

Phone

(660) 665-0817

Fax

(660) 665-2398

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Suzanne E Alt, D.O.NPI 1811995566

Title

President

Phone

(660) 665-0817

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne E Alt, DO

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1811995566
  NPD (past) Authorized official
• Trinidad J. Aguilera, M.D.

  • General Practice Physician
  • Moberly, MO
  • NPI 1639324585
  NPD (past)
• Joseph Steven Markiewicz, D.C.

  • Chiropractor
  • Kirksville, MO
  • NPI 1013079219
  NPD (past)
• Lola A Wobken, RNC, WHNP

  • Women's Health Nurse Practitioner
  • Columbia, MO
  • NPI 1952449936
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1568431013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011043",
            "telephone_number": "913-248-9693",
            "fax_number": "913-248-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 N BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015116",
            "telephone_number": "660-665-0817",
            "fax_number": "660-665-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE E. ALT, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "ALT",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-665-0817",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MO-R9G62",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MO",
            "license": "MO-R9G62",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KC, MO",
            "identifier": "38463011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Stull, D.O.
• Kaitlin Louise Stump, PT, DPT
• Eric Stutler, OTR
• Shanna Sullivan
• Nicole Summers, ATC
• Jeffrey A Suzewits, D.O.
• Sweet Sounds Speech Therapy LLC
• Brit Sweet, LMSW
• Karen A Sylvara, DO
• Anushri Anand Terkonda, DMD

• Family Medicine Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.