MARK J HALSTED (NPI# 1659384899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659384899 |
| Entity Type | Individual |
| Full Name | MARK J HALSTED |
| Credential | MD |
| Practice Address |
5655 Hudson Dr Ste 210 Aris Radiology Hudson OH 44236-4455 |
| Practice Telephone | 3306551869 |
| Practice Fax Number | 3306553828 |
| Mailing Telephone | 3306551869 |
| Mailing Fax Number | 3306553828 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
35077263 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.077263 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2182221 | 05 |
| Street Address |
5655 HUDSON DR STE 210 ARIS RADIOLOGY |
| City | HUDSON |
| State | OH |
| Zip Code | 44236-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566972 | Laura J Hanahan | Radiology | 5655 Hudson Dr Ste 210, Hudson, OH 44236-4455 | 2005-05-31 |
| 1033408836 | Bryan M Lazzara | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2011-04-01 |
| 1871816694 | Michael David Berven | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2010-03-08 |
| 1356570980 | Johanna Chang | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2009-07-02 |
| 1992954150 | Tejas J Samaroo | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2008-09-11 |
| 1184888075 | Josef Noga | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2008-07-10 |
| 1780845412 | Joseph Gorodenker | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2008-06-25 |
| 1740440833 | Michael R Matheson | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2008-06-11 |
| 1215101167 | Aaron Gregory Potnick | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2008-04-22 |
| 1043483175 | Michelle Ann Galvez | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2008-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881195477 | Amber Sommer | Dietitian, Registered | 1742 Georgetown Road, Hudson, OH 44236 | 2018-02-28 |
| 1184149585 | Elena A Berman | Technician | 2654 Blue Heron Dr, Hudson, OH 44236 | 2017-08-07 |
| 1114390671 | Costco Wholesale Corporation | Pharmacy | 6720 Bass Pro Rd, Boston Heights, OH 44236 | 2015-11-05 |
| 1972975803 | Costco Wholesale Corporation | Hearing Aid Equipment | 6720 Bass Pro Drive, Boston Heights, OH 44236 | 2015-10-30 |
| 1841695624 | The Hair Specialists | Anaplastologist | 180 W. Streetsboro St, Hudson, OH 44236 | 2014-10-23 |
| 1326441163 | Haley E Dunn | Counselor | 10 W. Streetsboro St., 107, Hudson, OH 44236 | 2014-10-08 |
| 1538578000 | Hudson Elms | Skilled Nursing Facility | 563 West Streetsboro Street, Hudson, OH 44236 | 2014-08-08 |
| 1316375215 | Mary Meghan Folino Hylton | Nurse Practitioner | 5655 Hudson Dr Ste 301, Hudson, OH 44236 | 2013-10-31 |
| 1225382708 | Stamatios Tripodis | Physical Therapist | 1310 Corporate Drive, Hudson, OH 44236 | 2012-11-05 |
| 1881943199 | Susan Belle Ujvari | Licensed Practical Nurse | 1661 Sapphire Drive, Hudson, OH 44236 | 2012-08-31 |
| Find all providers in zip 44236 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 |
|---|---|---|---|---|
| 1356570980 | Johanna Chang | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2009-07-02 |
| 1215101167 | Aaron Gregory Potnick | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2008-04-22 |
| 1043483175 | Michelle Ann Galvez | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2008-04-09 |
| 1255413852 | Melania Bula | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2006-10-20 |
| 1639105414 | Geoffrey A Agrons | Radiology | 5655 Hudson Dr, Suite 210, Hudson, OH 44236-4451 | 2006-06-24 |
| 1578521811 | Katherine Mary Gyves-ray | Radiology | 5655 Hudson Dr, Suite 210, Hudson, OH 44236-4451 | 2006-05-03 |
| 1831198472 | Judith Anne Craychee | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144568783 | Thomas R Frye | Radiology | 1427 Roxbury Rd, F, Columbus, OH 43212-3287 | 2013-01-16 |
| 1619167269 | David W Mcdonald | Radiology | 851 Thornberry Trl, North Lima, OH 44452-8518 | 2007-07-30 |
| 1073609681 | Steven J Kraus | Radiology | 3333 Burnet Avenue Ml 5031, Cincinnati, OH 45229-3026 | 2006-10-04 |
| 1861405003 | Kathy J Helton-skally | Radiology | 3333 Burnet Ave Ml 5031, Cincinnati, OH 45229-3026 | 2006-08-15 |
| 1457364952 | George Gus Cheronis | Radiology | 3840 Cayugas Dr, Akron, OH 44319-3704 | 2006-08-14 |
| 1104837194 | Zahid R Shah | Radiology | 9701 Fitzwater Rd, Brecksville, OH 44141-1305 | 2006-08-11 |
| 1598320079 | Nadeen Karim Abu Ata | Radiology | Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229 | 2019-05-09 |
| 1033695937 | Murat Kocaoglu | Radiology | 3333 Burnet Ave, Mlc 5031, Cincinnati, OH 45229-3026 | 2018-07-13 |
| 1649658410 | Albair Guirguis | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2015-05-13 |
| 1679968762 | Rupesh Patel | Radiology | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2015-04-06 |
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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.