Mark D Ottmar (NPI# 1255377016, PAC ID# 0244285542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1255377016 |
| PAC ID by PECOS | 0244285542 |
| Professional Enrollment ID | I20070529000017 |
| Full Name | Mark D Ottmar |
| Organization Legal Name | ADVANCED RADIOLOGY SERVICES PC |
| Address |
3900 Hollywood Rd Saint Joseph MI 49085-9149 |
| Phone Number | 2695562800 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4284546516 |
| Number of Group Practice Members | 180 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 | 6163911812 | ADVANCED RADIOLOGY SERVICES PC |
| 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 6167747826 | ADVANCED RADIOLOGY SERVICES PC |
| 31 N Saint Joseph Ave, Niles, MI 49120-2207 | 2696835510 | ADVANCED RADIOLOGY SERVICES PC |
| 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2695562800 | ADVANCED RADIOLOGY SERVICES PC |
| Organization Legal Name | ADVANCED RADIOLOGY SERVICES PC |
| Physicians | 176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucas Michael Sheldon | Diagnostic Radiology | Advanced Radiology Services PC | 208 Baywind Dr, Niceville, FL 32578-4802 |
| Jason Howard Griffith | Diagnostic Radiology | Advanced Radiology Services PC | 3264 N Evergreen Nedr, Suite 100, Grand Rapids, MI 49525-9746 |
| Stephen P Rucker | Physician Assistant | Advanced Radiology Services PC | 524 S Park St, Kalamazoo, MI 49007-5118 |
| Jeanette Lynn Quick | Nurse Practitioner | Advanced Radiology Services PC | 100 Michigan Norththeast St, Grand Rapids, MI 49503-2560 |
| James P Bares | Diagnostic Radiology | Advanced Radiology Services PC | 7178 Nantucket Dr Sw C/o J Bares, Byron Center, MI 49315-7966 |
| Enzo Anthony Cento | Diagnostic Radiology | Advanced Radiology Services PC | 716 E 73rd St, Indianapolis, IN 46240-3010 |
| Christine Gal | Diagnostic Radiology | Advanced Radiology Services PC | 1463 Pule Pl, Honolulu, HI 96816-1820 |
| Rolf Hollstein | Diagnostic Radiology | Advanced Radiology Services PC | 3238 Millikin Ave, San Diego, CA 92122-2934 |
| Amy Marie Federico | Diagnostic Radiology | Advanced Radiology Services PC | 4633 Oak Pointe Dr, Brighton, MI 48116-7728 |
| Geoffrey M Remes | Diagnostic Radiology | Advanced Radiology Services PC | 615 S Bower St, Greenville, MI 48838-2614 |
| Street Address |
3900 HOLLYWOOD RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip | 49085-9149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie K Birris | Psychologist, Clinical | Lakeland Medical Practices | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 |
| Meredith Marie Krugh | Nurse Practitioner | Lakeland Medical Practices | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 |
| Richard R Harper | Diagnostic Radiology | Advanced Radiology Services PC | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 |
| Gerald F Kozuh | Hematology/oncology | Lakeland Medical Practices | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 |
| Sheena Y Lader | Physician Assistant | Lakeland Medical Practices | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 |
| Daniel R Douce | Hematology/oncology | Lakeland Medical Practices | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Bruce P Hackworth | Psychologist, Clinical | 811 Ship St, 4b, Saint Joseph, MI 49085-1171 | |
| Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
| Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
| Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
| Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
| Find all physicians in zip 49085 | |||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAINT JOSEPH + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.