Active NPI
Mark Hunter, ATC, CSCS
- Athletic Trainer
- Saint Peters, MO
National Provider Identifier
1235347386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2004003506
- Practice address
- 4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666 - Phone
- (636) 939-9540
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2004003506 | MO | Primary |
Addresses
Primary practice location
4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666
Mailing address
1035 Landing Place Dr
O Fallon, MO 63367-4070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004003506 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235347386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 LANDING PLACE DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633674070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MEXICO RD",
"address_2": "SUITE 104",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761666",
"telephone_number": "636-939-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2004003506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.