MARK M ALTENAU MD PA (NPI# 1124337936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124337936 |
| Entity Type | Organization |
| Organization Name | MARK M ALTENAU MD PA |
| Practice Address |
7777 Forest Ln #b434 Dallas TX 75230-2505 |
| Practice Telephone | 9725667888 |
| Practice Fax Number | 9725667833 |
| Mailing Telephone | 9725667888 |
| Mailing Fax Number | 9725667833 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-10-22 |
| Authorized Official Name | DR. MARK M ALTENAU (PHYSICIAN) |
| Authorized Official Telephone | 9725667888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
Allopathic & Osteopathic Physicians |
| Street Address |
7777 FOREST LN #B434 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546101 | Frederick J Duffy Jr. | Plastic Surgery | 7777 Forest Ln, Ste C504, Dallas, TX 75230 | 2005-05-24 |
| 1710586870 | Dessy Santika Adont | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-10-20 |
| 1003433913 | Kasey Rehme | Speech-Language Pathologist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-26 |
| 1083230015 | Abigail Anne Plec | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-25 |
| 1225650500 | Minh Nguyen | Pharmacist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-10 |
| 1578184297 | Hk Anesthesia Services Pllc | Anesthesiology | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-05 |
| 1225657018 | Kristina Marie George | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-04-11 |
| 1376176024 | Carla Patricia Jimenez Santillan | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-02-20 |
| 1508496795 | Kafayat Oritola | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-16 |
| 1699315630 | Rachel Kimberly Harris | Occupational Therapist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003096819 | Cherie L. Booth | Otolaryngology | 4104 Junius St, Dallas, TX 75246-1427 | 2007-11-08 |
| 1932497443 | Total Senior Ear Care, Corp | Otolaryngology | 9535 Forest Lane, Suite 123, Dallas, TX 75243 | 2011-07-18 |
| 1154645679 | Brian Craig Rodgers | Otolaryngology | 7777 Forest Ln Ste A103, Dallas, TX 75230-6800 | 2010-03-26 |
| 1053644963 | Jacob Boston Hunter | Otolaryngology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2009-09-09 |
| 1295930550 | Joe Walter Kutz Jr. | Otolaryngology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-06-18 |
| 1538171053 | James Richard Fancher Jr. | Otolaryngology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851710032 | Wesley W.o. Krueger M.d. Pllc | Otolaryngology | 2632 Broadway St Ste 201, San Antonio, TX 78215-1137 | 2014-04-15 |
| 1538506498 | Eric Nicholas Appelbaum | Otolaryngology | 6501 Fannin St Ste Nb302, Houston, TX 77030-2703 | 2013-05-31 |
| 1700069838 | Claude A Mclelland Md | Otolaryngology | 3301 S Alameda, #506, Corpus Christi, TX 78411 | 2007-12-12 |
| 1225115876 | Kendal Lance Stewart | Otolaryngology | 11719 Bee Cave Rd. #204, Bee Cave, TX 78738-5543 | 2006-11-01 |
| 1194792739 | Robert M Owens | Otolaryngology | 6509 W Plano Pkwy, Plano, TX 75093-8209 | 2006-03-02 |
| 1467440180 | Patrick W Slater | Otolaryngology | 12319 N Mopac Expy, Bldg. C, Sutie 300, Austin, TX 78758-2403 | 2005-10-06 |
| 1093236325 | Chenxi You | Otolaryngology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2017-06-27 |
| 1306180781 | Marc-elie Nader | Otolaryngology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2012-11-25 |
| 1790933851 | Thomas A. Cadenhead, Md, Pa | Otolaryngology | 2210 San Jacinto Blvd, Suite 2, Denton, TX 76205-7527 | 2008-09-03 |
| 1184829707 | Metro Ear Nose and Throat Associates, Pa | Otolaryngology | 6509 W Plano Pkwy, Plano, TX 75093-8209 | 2007-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.