Active NPI
Mark E Hastings, MD
- Orthopaedic Surgery Physician
- Rockford, IL
National Provider Identifier
1477553659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036-078963
- Practice address
- 5668 E State St
Suite 400
Rockford, IL 61108-2490 - Phone
- (815) 398-7755
- Fax
- (815) 398-7762
- NPI assigned
- Jul 28, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036-078963 | IL | Primary |
Addresses
Primary practice location
5668 E State St
Suite 400
Rockford, IL 61108-2490
Mailing address
5668 E State St
Suite 400
Rockford, IL 61108-2490
Phone (815) 398-7755
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-078963 | IL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1477553659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5668 E STATE ST",
"address_2": "SUITE 400",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082490",
"telephone_number": "815-398-7755",
"fax_number": "815-398-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5668 E STATE ST",
"address_2": "SUITE 400",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082490",
"telephone_number": "815-398-7755",
"fax_number": "815-398-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "MARK",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036-078963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.