Gregory Gerald Hauck, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2005027153 Issued in MO

Practice address

700 Clark Street
St Louis, MO 63102-1727

Phone

(314) 345-9600

Fax

(314) 345-9607

NPI assigned

May 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588875462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BALLWIN ESTATES CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214992",
            "telephone_number": "636-527-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CLARK STREET",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631021727",
            "telephone_number": "314-345-9600",
            "fax_number": "314-345-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUCK",
        "first_name": "GREGORY",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2005027153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Aaliyah Hatley, MD
• Katey Hatter, DC
• Krystle Hatton, EMT-P, CJT
• Lisa Terrell Hatz, LCSW
• Amy Campion Hauch, CPNP-PC
• David C Haueisen, M.D.
• Rachel Marie Haug, PHARMD
• Brett Eric Haugen, M.D.
• Paula Andrea Haugen, NP-C
• Gretchen Hannah Haughey, LPC

• Athletic Trainer in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Athletic Trainer in Missouri

• 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.

Verify at the official NPI Registry.