Organization Active NPI

Kathleen a Alter M.D.

  • Internal Medicine Physician
  • Fairfield, OH
National Provider Identifier
1689858136
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50765 Issued in OH
Legal business name
KATHLEEN A ALTER M.D.
Practice address
2960 Mack Rd
Suite 210
Fairfield, OH 45014-5373
Phone
(513) 860-2777
Fax
(513) 860-9507
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Kathleen Ann AlterNPI 1780618413
Title
Owner
Phone
(513) 860-2777

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 50765 OH Primary

Addresses

Primary practice location

2960 Mack Rd
Suite 210
Fairfield, OH 45014-5373

Mailing address

2960 Mack Rd
Suite 210
Fairfield, OH 45014-5373
Phone (513) 860-2777

Other identifiers 1

IdentifierTypeStateIssuer
0631427MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1689858136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 MACK RD",
            "address_2": "SUITE 210",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145373",
            "telephone_number": "513-860-2777",
            "fax_number": "513-860-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MACK RD",
            "address_2": "SUITE 210",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145373",
            "telephone_number": "513-860-2777",
            "fax_number": "513-860-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A ALTER M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-860-2777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "50765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631427",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.