Mark J Halsted, MD

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

License

35077263 Issued in OH

Practice address

5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455

Phone

(330) 655-1869

Fax

(330) 655-3828

NPI assigned

Aug 15, 2006

Last updated

Nov 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

State licenses

Practice roles

Locations (25 of 82)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Hospital Medical Center of Akron

  dba Akron Children's Hospital-Physician Group

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853
  Medicare reassignment NPD
• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  OH

  Medicare reassignment NPD
• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976

  Neuroradiology, OH

  Medicare reassignment NPD
• Imaging Associates of Indiana, PC

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1699072611

  OH

  Medicare reassignment NPD
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464

  OH

  Medicare reassignment NPD
• Louisville Radiology Imaging Consultants, PLLC

  • Diagnostic Radiology Physician
  • Owensboro, KY
  • NPI 1639115447

  OH

  Medicare reassignment NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  Neuroradiology, OH

  Medicare reassignment NPD
• Northside Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1013960657

  Neuroradiology, OH

  Medicare reassignment NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931

  Neuroradiology, OH

  Medicare reassignment NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology, OH

  Medicare reassignment NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  Medicare reassignment
• Imaging Associates of Michigan PLLC

  • Diagnostic Radiology Physician
  • Marquette, MI
  • NPI 1164943007

  OH

  Medicare reassignment

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1659384899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTED",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "35077263",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.077263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2182221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mary Gyves-Ray, M.D.
• Caitlin Hagg
• Heather Lee Haight, OTR
• Kevin Joe Hallgarth, D.D.S.
• Melissa Jane Halozan
• Anwar Hamami, M.D.
• Emily Erin Hammouri, CNP
• Laura J Hanahan, M.D.
• Harvey C. Hanna Jr., RPH.
• Joseph A Harasimowicz Jr., MD

• Pediatric Radiology Physician in Hudson, OH
• Providers in Hudson, OH by specialty
• Pediatric Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.