Provider Demographics
NPI:1154317006
Name:HALLMARK, HUGH E (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:E
Last Name:HALLMARK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 MEADOWS BLVD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8405
Mailing Address - Country:US
Mailing Address - Phone:720-455-3879
Mailing Address - Fax:720-455-0665
Practice Address - Street 1:2350 MEADOWS BLVD
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8405
Practice Address - Country:US
Practice Address - Phone:720-455-3879
Practice Address - Fax:720-455-0665
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO26501208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01265016Medicaid
CO023777OtherKAISER COMMERCIAL NUMBER
CO298717YK5YMedicare PIN
CO023777OtherKAISER COMMERCIAL NUMBER
801729Medicare ID - Type Unspecified