DR. MARK EDWARD HALSTEAD (NPI# 1598783227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598783227 |
| Entity Type | Individual |
| Full Name | DR. MARK EDWARD HALSTEAD |
| Credential | MD |
| Practice Address |
14532 S Outer 40 Rd Ste 200 Chesterfield MO 63017-5705 |
| Mailing Address |
660 S Euclid Ave Cb 8233 Saint Louis MO 63110-1010 |
| Practice Telephone | 3145143500 |
| Practice Fax Number | 3145143534 |
| Mailing Telephone | 3147472500 |
| Mailing Fax Number | 3149963019 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2004011774 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209144609 | 05 | |
| IL | ENROLLED | 05 |
| Street Address |
14532 S OUTER 40 RD STE 200 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225068851 | Kymberly L Gomez | Physician Assistant | 14532 S Outer 40 Rd, Ste 200, Chesterfield, MO 63017-5705 | 2006-07-03 |
| 1003450834 | Luu Thi Wong | Occupational Therapist | 14532 S Outer 40 Rd, Ste 120, Chesterfield, MO 63017-5705 | 2019-11-05 |
| 1295378693 | Ana Parrini Uhlmann | Physical Therapist | 14532 S Outer 40 Rd, Ste 120, Chesterfield, MO 63017-5705 | 2019-10-18 |
| 1457900193 | Sarah Mecadon | Occupational Therapist | 14532 S Outer 40 Rd, Ste 120, Chesterfield, MO 63017-5705 | 2019-09-05 |
| 1265937346 | Nartana N Mehta | Dietitian, Registered | 14532 S Outer 40 Rd, Chesterfield, MO 63017-5705 | 2018-03-29 |
| 1336675974 | Washington University | Occupational Therapist | 14532 S Outer 40 Rd, Suite 120, Chesterfield, MO 63017 | 2017-05-02 |
| 1831638527 | Macyn Stonner | Occupational Therapist | 14532 S Outer 40 Rd, Suite 120, Chesterfield, MO 63017-5705 | 2017-02-15 |
| 1043769854 | Nadia Melton | Specialist/Technologist | 14532 S Outer 40 Rd, Chesterfield, MO 63017-5705 | 2016-09-22 |
| 1437535465 | Megan Lynn Phillips | Nurse Practitioner | 14532 S Outer 40 Rd, Chesterfield, MO 63017-5705 | 2015-07-31 |
| 1285979195 | Michele R Mueller | Nurse Practitioner | 14532 S Outer 40 Rd, Ste 200, Chesterfield, MO 63017-5705 | 2012-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033326137 | Luke S Choi | Orthopaedic Surgery | 14285 N. Outer Forty Rd, Suite 200, Chesterfield, MO 63195-0000 | 2007-05-17 |
| 1467533372 | Gpaletta Orthopedic Consulting, LLC | Orthopaedic Surgery | 14825 S. Outer Forty Rd, Suite 200, Chesterfield, MO 63017 | 2006-10-18 |
| 1497726566 | Crane Clinic for Sports Performance | Orthopaedic Surgery | 219 Chesterfield Towne Ctr, Chesterfield, MO 63005-1257 | 2006-01-27 |
| 1285986398 | Bluetail Medical Group, LLC. | Orthopaedic Surgery | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1375 | 2012-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1134344922 | Scott Geoffrey Kaar | Orthopaedic Surgery | U21 S. New Ballas Rd, Ste 3005 B, St Louis, MO 63141 | 2007-04-16 |
| 1013015106 | Allen G Adams | Orthopaedic Surgery | 904 Edmond St, Saint Joseph, MO 64501-2702 | 2006-09-20 |
| 1891728051 | Jody T Jachna | Orthopaedic Surgery | 400 1st Capitol Dr Ste 100, Saint Charles, MO 63301-2881 | 2006-07-09 |
| 1487623260 | Douglas W Kiburz | Orthopaedic Surgery | 2301 S Ingram Ave, Sedalia, MO 65301-8121 | 2006-03-15 |
| 1124009212 | Christopher M Miller | Orthopaedic Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2005-11-07 |
| 1255958138 | Gina Marie Fasano | Orthopaedic Surgery | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-06-26 |
| 1144768912 | Joint Health LLC | Orthopaedic Surgery | 633 Emerson Rd, Suite 10, Creve Coeur, MO 63141-6739 | 2017-02-01 |
| 1487107736 | Betina Hinckel | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2016-08-03 |
| 1952773533 | Kansas City Center for Hip Preservation and Sports Medicine | Orthopaedic Surgery | 6100 Timberidge, Parkville, MO 64152-6099 | 2015-10-22 |
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| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.