Basic Information
| Provider Information | |||||||||
| NPI: | 1700856200 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAUGHT | ||||||||
| FirstName: | WALTER | ||||||||
| MiddleName: | HERBERT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Practice Location | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2006 | ||||||||
| LastUpdateDate: | 02/23/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 21982 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 3110073 | 01 | TN | BCBS | OTHER | P00782369 | 01 | AL | RAILROAD MEDICARE | OTHER | 000078715 | 05 | AL | MEDICAID | 112447 | 05 | AL | MEDICAID | 25-12007 | 01 | UNITED HEALTHCARE | OTHER | 3891333 | 05 | TN | MEDICAID | 4668185 | 01 | AETNA | OTHER | 510-49388 | 01 | AL | BCBS | OTHER | 060050988 | 01 | RAILROAD MEDICARE | OTHER | 112527 | 05 | AL | MEDICAID | 112528 | 05 | AL | MEDICAID | 510-49704 | 01 | AL | BCBS | OTHER | 510-49252 | 01 | AL | BCBS | OTHER | 112450 | 05 | AL | MEDICAID | 112530 | 05 | AL | MEDICAID | 510-49387 | 01 | AL | BCBS | OTHER | 51078715 | 01 | AL | BCBS | OTHER | 112533 | 05 | AL | MEDICAID | 510-49250 | 01 | AL | BCBS | OTHER | 510-49386 | 01 | AL | BCBS | OTHER |