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MARK HALLETT MD
NPI 1629098504
Family Medicine - Sports Medicine in Appleton, WI

Active since July 20, 2006
820 E GRANT ST, APPLETON, WI 54911(920) 831-5050 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Hallett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK HALLETT MD (NPI 1629098504) is an individual sports medicine provider in Appleton, Wisconsin, licensed in Wisconsin (34228) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1629098504
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameMARK HALLETTCredential: MD
Location Address820 E GRANT STAppleton, WI 54911-3483
Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 996-3298 · Fax (920) 738-5787
Phone(920) 831-5050
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1629098504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in WI · 34228
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
820 E GRANT ST, Appleton, WI 54911
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Other Identifiers 2

Medicaid31944600WI
Medicare UPIND81215

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHERINE K KRAUSE PA
Physician Assistant
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050
CAROL J ROBBINS NP
Nurse Practitioner
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 731-5811
ERIC W ERICKSON MD
Orthopaedic Surgery
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050
JON D BERGE APNP
Nurse Practitioner
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050
MS. RACHEL A KOEPER NP
Nurse Practitioner (Acute Care)
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 731-4138
DENNIS HAEN L.A.T.
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050
MRS. MARGARET L BAUER LAT
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 716-4026
DR. DAVID ALBERT LIEBELT M.D., PH.D.
Orthopaedic Surgery
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Hallett's NPI number?

The NPI number for Mark Hallett is 1629098504. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Mark Hallett located?

Mark Hallett practices at 820 E Grant St, Appleton, WI 54911. The listed phone number is (920) 831-5050.

What is Mark Hallett's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Mark Hallett was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.