Organization Active NPI

Alta Health Group LLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1700133303
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALTA HEALTH GROUP LLC
Practice address
7385 Radio Rd
Suite 104
Naples, FL 34104-6704
Phone
(239) 434-6000
NPI assigned
Aug 14, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTA PRIVATE HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Mr. Thomas Gipp Brown
Title
Manager - Ceo
Phone
(239) 434-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7385 Radio Rd
Suite 104
Naples, FL 34104-6704

Mailing address

9010 Strada Stell CT
Suite 107
Naples, FL 34109-4424
Phone (239) 434-6000

National Provider Directory

National Provider Directory

Locations

7385 Radio Rd
Ste 104
Naples, FL 34104
Phone (239) 384-9392

9010 Strada Stell Ct
Ste 107
Naples, FL 34109

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18228/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1700133303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 STRADA STELL CT",
            "address_2": "SUITE 107",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094424",
            "telephone_number": "239-434-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7385 RADIO RD",
            "address_2": "SUITE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046704",
            "telephone_number": "239-434-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA HEALTH GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTA PRIVATE HEALTH LLC",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GIPP",
        "authorized_official_title_or_position": "MANAGER - CEO",
        "authorized_official_telephone_number": "239-434-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.