Stephen T Hustead, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

332642 Issued in MN

Practice address

4040 Coon Rapids Blvd NW
Suite 120
Minneapolis, MN 55433-4567

Phone

(763) 427-9980

Fax

(763) 427-9908

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1629015987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 COON RAPIDS BLVD NW",
            "address_2": "SUITE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554334567",
            "telephone_number": "763-427-9980",
            "fax_number": "763-427-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTEAD",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "332642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479398600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siham Hussen
• Michelle Hussey, RN
• Issa Hussien
• Jennifer Marianne Hussung, RN, CWOCN
• Anne Katherine Hust, MD
• Virginia Hustead, MD
• Corina Huston-Shaikh
• Melinda Sue Fine Huston, APRN, RN
• Robyn Kara Hustrulid, CD(DONA)
• Joel C Hutcheson, MD

• Cardiovascular Disease Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Cardiovascular Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.