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DEAN EDMUND ALTENHOFEN MD NPI 1578540027


NPI Information

NPI: 1578540027
Provider Name: DEAN EDMUND ALTENHOFEN, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 10D0943299

Address:
6110 N DAVIS HWY
PENSACOLA, FL
ZIP 32504
Phone: (850) 475-0902
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Dean Edmund Altenhofen, MD is an obstetrics gynecology in Pensacola, FL with 40 years of experience. The provider is 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. Dean Edmund Altenhofen, MD NPI is 1578540027. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

6110 N DAVIS HWY
PENSACOLA, FL
ZIP 32504-950
Phone: (850) 475-0902
Fax: (850) 475-0908

The NPI 1578540027 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D0943299 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 12/27/2005 and was last updated on 6/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME46652FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1047401100OTHERFLORIDAMED3000
2$$$$$$$$$OTHERFLORIDATRICARE/HUMANA
3051041OTHERFLORIDAVISTA HEALTHPLANS
402245OTHERFLORIDABLUE CHOICE
502245OTHERFLORIDAHEALTHFIRST
6047401100OTHERFLORIDAHEALTHEASE
702245OTHERFLORIDANETWORK BLUE
8593428041OTHERFLORIDAAETNA
959146654OTHERALABAMABLUE CROSS OF ALABAMA
10593428041OTHERFLORIDACIGNA
1102245OTHERFLORIDAWELLCARE
1202245OTHERFLORIDABLUE CROSS BLUE SHIELD OF FLORIDA
1302245OTHERFLORIDAHEALTH OPTIONS
142/593428041/00001OTHERFLORIDAUNITED HEALTHCARE
15047401100OTHERFLORIDASTAYWELL
16047401100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.