Anita Angela Hackstedde, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35074873 Issued in OH

Practice address

6505 Market St
Boardman, OH 44512-3457

Phone

(330) 884-2280

Fax

(330) 884-2278

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Salem Community Hospital

  dba Salem Regional Medical Center

  • General Acute Care Hospital
  • Salem, OH
  • NPI 1639131535

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Salem Community Hospital

  dba SRMC Ancillary Services

  • Radiology Clinic/Center
  • Calcutta, OH
  • NPI 1750227377

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457341877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123457",
            "telephone_number": "330-884-2280",
            "fax_number": "330-884-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123457",
            "telephone_number": "330-884-2280",
            "fax_number": "330-884-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKSTEDDE",
        "first_name": "ANITA",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35074873",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35074873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra J Grisham, LPCC
• Patrizia Guerrieri, M.D.
• Jill Christine Gulling, APRN, CNP
• Prakash Gyawali, M.D.
• Jeffrey Adam Hackney, MD
• Ibrahim J Haddad, MD
• Antonius Susatyo Hadi, MD
• Theresa Lynn Hahn, CNP
• Melissa Marie Haire, PA-C
• Jennifer Hake, CDCA

• Internal Medicine Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.