Mark Conrad Ottelin in Greensboro - Urology
Mark Conrad Ottelin - NPI 1164418216
Mark Conrad Ottelin is a Urology in Greensboro, North Carolina. Mark Conrad Ottelin practices all healthcare services and medical treatments related to Urology. The NPI Number for Mark Conrad Ottelin is 1164418216. The last update date is 2011-02-11.
Mark Conrad Ottelin's current location address is 509 N Elam Ave Fl 2, Greensboro, North Carolina. You can contact this provider via phone number 3362741114 and fax number 3362325325. The mailing address for Mark Conrad Ottelin is 509 N Elam Ave Fl 2, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Conrad Ottelin |
|---|---|
| Address | 509 N Elam Ave Fl 2, Greensboro, North Carolina |
| Phone Number | 3362741114 |
| Fax Number | 3362325325 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164418216 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2011-02-11 |
Provider Mailing Address Detail
| Address | 509 N Elam Ave Fl 2 |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274031157 |
| Phone Number | 3362741114 |
| Fax Number | 3362325325 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 35458 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64398 | NC | BLUE CROSS BLUE SHIELD | |
| 8964398 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Conrad Ottelin by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Conrad Ottelin has been assigned the NPI (National Provider Identifier) 1164418216. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mark Conrad Ottelin located?
The Mark Conrad Ottelin is located at 509 N Elam Ave Fl 2, Greensboro, NC 274031157.
Could you please provide the complete physical location address of Mark Conrad Ottelin?
The Mark Conrad Ottelin is physically situated at 509 N Elam Ave Fl 2, in the city of Greensboro, state of NC, with the postal code 274031157.
What is the area of specialization for Mark Conrad Ottelin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Conrad Ottelin is Urology, and the corresponding taxonomy code that categorizes this area of expertise is 208800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164418216 to Mark Conrad Ottelin?
The Mark Conrad Ottelin received its 1164418216 assignment from the Centers for Medicare & Medicaid Services on 2005-09-23.