Steven W Hallstrom, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24784 Issued in MN

Practice address

2601 Centennial Dr Ste 100
North St Paul, MN 55109-3087

Phone

(651) 777-7414

Fax

(651) 748-5839

NPI assigned

Jul 31, 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 Medicine

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1780690735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SLOAN PL STE 35",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172092",
            "telephone_number": "651-772-1572",
            "fax_number": "651-772-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CENTENNIAL DR STE 100",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093087",
            "telephone_number": "651-777-7414",
            "fax_number": "651-748-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLSTROM",
        "first_name": "STEVEN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "24784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779302200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Group Health Plan, Inc
• Diane C Guenther, SLP-CCC
• Kallie Lynn Guggisberg
• Natalie Rose Haan
• Drevis L Hager, ED D LP
• Cal Hanson
• Fadumo A Hassan
• Deanne Haywood, MS, CCC-SLP
• Monica Nicole Herrera
• Sawyer A Hildebrant, DC

• Family Medicine Physician in North St Paul, MN
• Providers in North St Paul, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.