DR. MARK PHILLIPS ALTMAN (NPI# 1689652711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689652711 |
| Entity Type | Individual |
| Full Name | DR. MARK PHILLIPS ALTMAN |
| Credential | M.D. |
| Practice Address |
2200 Whitney Ave Ste 170 Hamden CT 06518-3694 |
| Mailing Address |
322 E Main St Ste 1b Branford CT 06405-3136 |
| Practice Telephone | 2034082700 |
| Practice Fax Number | 2038848201 |
| Mailing Telephone | 2034887228 |
| Mailing Fax Number | 2034887227 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 038149 | CT | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
38149 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1689652711 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Goose Ln Ste 203b, Guilford, CT 064372158 | 2034082700 | 2038848201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417935750 | Mark D Altman | Physician Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-01-06 |
| Street Address |
2200 WHITNEY AVE STE 170 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497229876 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2019-01-18 |
| 1578841797 | Daniel Sylvan Lavy | Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2011-07-22 |
| 1588830699 | John M. Aversa Jr. | Colon & Rectal Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2008-05-08 |
| 1366471849 | John Anthony Bonadies | Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2006-06-30 |
| 1689602492 | David S Katz | Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073591053 | Rowland B Mayor | Orthopaedic Surgery | 2416 Whitney Ave Ste 3, Hamden, CT 06518-3249 | 2006-01-09 |
| 1043216575 | Louis Iorio | Orthopaedic Surgery | 9 Washington Ave, Hamden, CT 06518-3267 | 2005-06-21 |
| 1013440833 | Neon LLC | Orthopaedic Surgery | 2080 Whitney Ave, Hamden, CT 06518-3600 | 2017-04-08 |
| 1194161604 | Stephen Nelson | Orthopaedic Surgery | 2416 Whitney Ave Ste 3, Hamden, CT 06518-3249 | 2013-05-12 |
| 1992148761 | Eric Michael Padegimas | Orthopaedic Surgery | 2416 Whitney Ave Ste 3, Hamden, CT 06518-3249 | 2013-04-11 |
| 1134488331 | Glenn Scott Russo | Orthopaedic Surgery | 2408 Whitney Ave, Hamden, CT 06518-3209 | 2012-05-08 |
| 1114231396 | The Orthopaedic Group, LLC | Orthopaedic Surgery | 2200 Whitney Ave, Suite 270, Hamden, CT 06518-3691 | 2010-07-30 |
| 1861600165 | Derek S Shia | Orthopaedic Surgery | 9 Washington Ave, Hamden, CT 06518-3267 | 2007-05-18 |
| 1477532489 | John Paul Daigneault | Orthopaedic Surgery | 2416 Whitney Ave Ste 3, Hamden, CT 06518-3249 | 2006-01-10 |
| 1649259581 | David Hudson Gibson | Orthopaedic Surgery | 2200 Whitney Ave, Suite 170, Hamden, CT 06518-3691 | 2006-01-10 |
| Find all providers in HAMDEN | ||||
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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.