MR. MARK DAVID OTTMAR MD NPI 1255377016

NPI Information

NPI: 1255377016
Provider Name: MR. MARK DAVID OTTMAR, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1234 NAPIER AVE
ST JOSEPH, MI
ZIP 49085
Phone: (269) 983-8300
Get Directions

MR. Mark David Ottmar, MD is a diagnostic radiology radiology in St Joseph, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. Mark David Ottmar, MD NPI is 1255377016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1234 NAPIER AVE
ST JOSEPH, MI
ZIP 49085
Phone: (269) 983-8300
Fax: (269) 983-6965

The enumeration date for this NPI number is 6/21/2006 and was last updated on 6/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	4301049003	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300135781	OTHER		RAILROAD MEDICARE
2	4411238	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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