Provider Demographics
NPI:1700856200
Name:HAUGHT, WALTER HERBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:HERBERT
Last Name:HAUGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:256-539-4099
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:256-539-4099
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21982207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3110073OtherBCBS
ALP00782369OtherRAILROAD MEDICARE
AL000078715Medicaid
AL112447Medicaid
25-12007OtherUNITED HEALTHCARE
TN3891333Medicaid
4668185OtherAETNA
AL510-49388OtherBCBS
060050988OtherRAILROAD MEDICARE
AL112527Medicaid
AL112528Medicaid
AL510-49704OtherBCBS
AL510-49252OtherBCBS
AL112450Medicaid
AL112530Medicaid
AL510-49387OtherBCBS
AL51078715OtherBCBS
AL112533Medicaid
AL510-49250OtherBCBS
AL510-49386OtherBCBS
AL112533Medicaid
AL000078715Medicaid
4668185OtherAETNA
AL102I065020Medicare PIN