Individual provider Active NPI

Risa Altman, MD

  • Pediatrics Physician
  • Souderton, PA
National Provider Identifier
1992728562
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS-006003-L Issued in PA
Practice address
3456 Bethlehem Pike
Sky View Medical Center, FLR 2
Souderton, PA 18964
Phone
(215) 723-7177
Fax
(215) 721-8771
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS-006003-L PA Primary

Addresses

Primary practice location

3456 Bethlehem Pike
Sky View Medical Center, FLR 2
Souderton, PA 18964

Mailing address

3456 Bethlehem Pike
Sky View Medical Center, FLR 2
Souderton, PA 18964
Phone (215) 723-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS-006003-LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital of Philadelphia Pediatrics Past Accepting new patients
Children'S Hospital of Philadelphia Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992728562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 BETHLEHEM PIKE",
            "address_2": "SKY VIEW MEDICAL CENTER, FLR 2",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "18964",
            "telephone_number": "215-723-7177",
            "fax_number": "215-721-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 BETHLEHEM PIKE",
            "address_2": "SKY VIEW MEDICAL CENTER, FLR 2",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "18964",
            "telephone_number": "215-723-7177",
            "fax_number": "215-721-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "RISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS-006003-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.