Angela Leigh Alt, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2010039653 Issued in MO

Practice address

224 S. Woods Mill Rd
Suite 510 South
Chesterfield, MO 63017-3451

Phone

(314) 434-6130

Fax

(314) 434-1277

NPI assigned

Mar 28, 2007

Last updated

Jun 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West County Adult Medicine, LLC

  • Internal Medicine Physician
  • Chesterfield, MO
  • NPI 1497943393
  NPD (past)
• Mayo Clinic

  • Clinical Medical Laboratory
  • Rochester, MN
  • NPI 1083249577
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1801915038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 510 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-434-6130",
            "fax_number": "314-434-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S. WOODS MILL RD",
            "address_2": "SUITE 510 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-434-6130",
            "fax_number": "314-434-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALT",
        "first_name": "ANGELA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "49650",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2010039653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "995102000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00427411",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allergy & Asthma Care of St. Louis
• Allergy Associates, Inc
• Nawaf Almeshal
• Alora Supports Missouri LLC
• Victoria Lynn Alstadt-Johnson, FNP-BC
• Deanna L Altenbernd, RN
• Nicole E Althoff, DPT
• Kathleen Altman-Mason, OTR
• Lizel Alvarado, PA
• Jessica Michelle Alvarez

• Urology Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.