Walter J Alt, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

81973 Issued in MA

Practice address

5 East Main Street
Lahey Merrimac
Merrimac, MA 01860

Phone

(978) 346-9733

NPI assigned

May 4, 2006

Last updated

Dec 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1831147073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EAST MAIN STREET",
            "address_2": "LAHEY MERRIMAC",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "01860",
            "telephone_number": "978-346-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EAST MAIN STREET",
            "address_2": "LAHEY MERRIMAC",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "01860",
            "telephone_number": "978-346-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALT",
        "first_name": "WALTER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "81973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110056507A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Quiet Knowing Counseling LLC
• Amer Avdagic, DMD
• Theresa Marie Goodwin Banzhaf, M. ED.
• Bridget Batcheller, MSW, LCSW
• Robert J Beaudry, DDS
• Kristin L Bonasera, P.T.

• Family Medicine Physician in Merrimac, MA
• Providers in Merrimac, MA by specialty
• Family Medicine Physician in Massachusetts

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