MARK D. OTTMAR MD – NPI #1255377016
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MARK OTTMAR is a radiologist located in SAINT JOSEPH, MI. NPPES has assigned the NPI number 1255377016 to MARK OTTMAR on June 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 8 years ago on Jun 07, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK OTTMAR below.

NPI Profile for
MARK D. OTTMAR

NPI Number
1255377016
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK D. OTTMAR
Credentials
MD
Primary location
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Phone: (269) 983-8300 Fax: (269) 983-6965
Mailing address
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone: (616) 363-7339 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARK OTTMAR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARE300135781
MEDICAIDMI4411238
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MI 4301049003

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.