Mitchell Dean Hauschildt, MA, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2002007678 Issued in MO

Practice address

4331 S Fremont Ave
Healthtracks Sports Training Center
Springfield, MO 65804-7328

Phone

(417) 820-5010

Fax

(417) 820-5022

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1144201369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 LUNAR ST",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381759",
            "telephone_number": "417-732-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 S FREMONT AVE",
            "address_2": "HEALTHTRACKS SPORTS TRAINING CENTER",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047328",
            "telephone_number": "417-820-5010",
            "fax_number": "417-820-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSCHILDT",
        "first_name": "MITCHELL",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "MA, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2002007678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lee Hatfield, LPT
• Jonathan Patrick Hathcock, PT
• Kayelin Hathorn, ACNP
• Jacqueline A. Hauer, M.D.
• Krista Ann Haugland, OTR
• Sanjay Havaldar, MD
• Richard L Havens, CRNA
• Marc Havlicek, PA-C
• Jacob Havlin
• Tiffany Sue Havlin, PH.D., LCSW

• Athletic Trainer in Springfield, MO
• Providers in Springfield, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.