Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Craig Kenneth Hallstrom, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1598709503

Dr. Craig Kenneth Hallstrom, MD is a Critical Care (Intensivists) in Jackson, Mississippi. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1998, 28 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
28
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-8173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 18514 (MS)

Record details

NPI number1598709503
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESApril 1, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPEDIATRIC MEDICINE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1998 (28 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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