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NPI · 1104292499 · NPPES-sourced

Mr. Mark Mydan Otr/L

ActiveSpecialist
NPI Number
1104292499
Type 1 · Individual
Taxonomy Code
174400000X
Contact
(360) 595-8427
License WA · OT 60084951
Last Updated
Enumerated
Primary practice addressWA · 98229-7102
544 Midwood CtBellingham, WA 98229-7102
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About this NPIWhat this record shows.

NPI 1104292499 is registered to Mr. Mark Mydan Otr/L, a Specialist practising at 544 Midwood Ct in Bellingham, Washington. Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Mark Mydan Otr/L has been enumerated in the National Provider Identifier (NPI) registry since 2015.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Mark Mydan Otr/L accepts. To confirm in-network status with your specific health plan, contact Mr. Mark Mydan Otr/L directly at (360) 595-8427.

Frequently asked

Yes. NPI 1104292499 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (360) 595-8427.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Mark Mydan Otr/L is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy174400000X
Last updated
Enumerated
StatusActive
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