DEAN EDMUND ALTENHOFEN


Address: 6110 N Davis Hwy, Pensacola, FL 32504-6950
Phone: 8504750902

DEAN EDMUND ALTENHOFEN (NPI# 1578540027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578540027
Entity Type Individual
Full Name DEAN EDMUND ALTENHOFEN
Credential MD
Practice Address 6110 N Davis Hwy
Pensacola
FL 32504-6950
Practice Telephone 8504750902
Practice Fax Number 8504750908
Mailing Telephone 8504750902
Mailing Fax Number 8504750908
Enumeration Date 2005-12-27
Last Update Date 2018-06-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology ME46652 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL HEALTHFIRST 02245 01
FL UNITED HEALTHCARE 2/593428041/00001 01
FL BLUE CHOICE 02245 01
FL NETWORK BLUE 02245 01
FL WELLCARE 02245 01
FL VISTA HEALTHPLANS 051041 01
FL CIGNA 593428041 01
AL BLUE CROSS OF ALABAMA 59146654 01
FL AETNA 593428041 01
FL HEALTHEASE 047401100 01
FL HEALTH OPTIONS 02245 01
FL MED3000 047401100 01
FL STAYWELL 047401100 01
FL 047401100 05
FL BLUE CROSS BLUE SHIELD OF FLORIDA 02245 01

Other Providers DEAN ALTENHOFEN

NPI Name Taxonomy Address Enumeration
1477981538 Dean Edmund Altenhofen II Counselor 701 Robley Dr Ste 137, Lafayette, LA 70503-5223 2013-10-28

Office Location

Street Address 6110 N DAVIS HWY
City PENSACOLA
State FL
Zip Code 32504-6950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003193756 Dean Edmund Altenhofen, M.d., P.a. Obstetrics & Gynecology 6110 N Davis Hwy, Pensacola, FL 32504-6950 2011-11-09

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1760021349 Veteran Evaluations of Florida Internal Medicine 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 2019-12-31
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184070823 Jason Gronert Obstetrics & Gynecology 8333 N Davis Hwy # 2, Pensacola, FL 32514-6050 2016-05-12
1124447263 Victor Hultstrand LLC Obstetrics & Gynecology 4724 N Davis Hwy # 200, Pensacola, FL 32503-2339 2014-04-15
1508184276 Integrity Medical Care, LLC Obstetrics & Gynecology 6770 N 9th Ave, Pensacola, FL 32504-7346 2010-05-05
1619125671 Charles Shane Medlock Obstetrics & Gynecology 5153 N 9th Ave Ste 207, Pensacola, FL 32504-5705 2008-09-03
1366452815 Carlos Arauco Obstetrics & Gynecology 1657 Trinity Dr, Pensacola, FL 32504-5708 2006-08-08
1487662326 Nicholas Emmrick Sholty Obstetrics & Gynecology 4707 N Davis Hwy, Pensacola, FL 32503 2006-08-04
1831143940 Julie A Decesare Obstetrics & Gynecology 8333 N Davis Hwy Fl 7, Pensacola, FL 32514-6050 2006-05-22
1245210046 Paul E Larose Obstetrics & Gynecology 525 Brent Ln, Pensacola, FL 32503-2003 2006-01-18
1285618629 Donna C. Bennett, Md, Pa Obstetrics & Gynecology 4220 N Davis Hwy, Building A, Suite 100, Pensacola, FL 32503-2752 2005-11-30
1942283890 Robert W Andrews Obstetrics & Gynecology 525 Brent Lane, Pensacola, FL 32503 2005-11-23
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City PENSACOLA
Zip Code 32504

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Dataset Information

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.

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