Dr. Craig Kenneth Hallstrom
M.D. | Pediatric Critical Care Medicine | Male
Dr. Craig Kenneth Hallstrom, M.D. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Craig Kenneth Hallstrom is
2500 N State St, Jackson, Mississippi - 39216-4500. He can be contacted on phone at
601-815-8173.
Dr. Craig Kenneth Hallstrom is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Craig Kenneth Hallstrom is
1598709503 which was assigned by NPPES on 16 Jun, 2006 and it was last updated on 01 Apr, 2014.
Dr. Craig Kenneth Hallstrom license number is
18514 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Mississippi.
Dr. Craig Kenneth Hallstrom is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Craig Kenneth Hallstrom basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Craig Kenneth Hallstrom |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Craig Kenneth Hallstrom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-815-8173 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598709503 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Jun, 2006 |
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| Last Updated On : | 01 Apr, 2014 |
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Medicare Participation:
Dr. Craig Kenneth Hallstrom participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6305805482 |
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| Medicare Enrollment ID : | I20111003000397 |
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| Primary Specialty : | Critical Care (intensivists) |
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| Medical School : | Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University |
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| Graduation Year : | 1998 |
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| Accepts Medicare? | Yes. Dr. Craig Kenneth Hallstrom accepts medicare insurance. |
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Group Practice Association:
Dr. Craig Kenneth Hallstrom is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Craig Kenneth Hallstrom is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 828 | 2500 N State St
Jackson, MS - 392164500 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Craig Kenneth Hallstrom are as mentioned. Primary taxonomy code for Dr. Craig Kenneth Hallstrom, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 18514 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Craig Kenneth Hallstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 157470 | MEDICAID | AL | |
| 1603767 | MEDICAID | LA | |
| 512I370060 | Other | MS | MEDICARE PTAN |
| 07076371 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-815-8173 |
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Business Location:
Patients can refer following map for directions to
Dr. Craig Kenneth Hallstrom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.