DR. ALBERT JERVISS ALTER JR. (NPI# 1386604346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386604346 |
| Entity Type | Individual |
| Full Name | DR. ALBERT JERVISS ALTER JR. |
| Credential | MD |
| Practice Address |
6701 Seybold Rd Ste 204 Madison WI 53719-1362 |
| Mailing Address |
W9107 State Route 39 Blanchardville WI 53516-9671 |
| Practice Telephone | 6082717015 |
| Practice Fax Number | 6082717015 |
| Mailing Telephone | 6085234506 |
| Mailing Fax Number | 6082717015 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
19772-020 | WI | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
19772-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
19772-020 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
19772 | WI | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
19772-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31053200 | 05 |
| Street Address |
6701 SEYBOLD RD STE 204 |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
| 1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
| 1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
| 1083036735 | The Imaging Center Inc | Radiology | 209 Veranda Dr, Madison, AL 35758-3008 | 2014-01-15 |
| 1669812913 | Robert Mark Wertz | Radiology | 221 S Fair Oaks Ave, Madison, WI 53704-5860 | 2013-07-01 |
| 1003151671 | Diagnostic Health Mri of Gadsden, LLC | Radiology | 398 Hughes Rd, Madison, AL 35758-1102 | 2012-12-07 |
| 1598050825 | Jeffrey Robert Cagley | Radiology | 2837 Barlow St, Madison, WI 53705-3621 | 2011-06-15 |
| Find all providers in MADISON | ||||
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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.