Charles S. Halbeck, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036.061328 Issued in IL

Practice address

915 E. 5TH St.
Alton, IL 62002-6471

Phone

(618) 463-5300

Fax

(618) 463-5195

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1508973918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E. 5TH ST.",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026471",
            "telephone_number": "618-463-5300",
            "fax_number": "618-463-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E. 5TH ST.",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026471",
            "telephone_number": "618-463-5300",
            "fax_number": "618-463-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBECK",
        "first_name": "CHARLES",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036061328",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R2F64",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.061328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gunning
• Puja Gurung, M.D.
• Magdy R. Gutierrez Machado, FNP-BC
• Linda Haar, PT
• Kristyn Hager, DPT
• Charlotte Hall, RN
• Nicole Hall
• Abigail Hamilton, BSW
• Lindsey Hammond
• Sara Hanahan, DMD

• General Practice Physician in Alton, IL
• Providers in Alton, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.