Individual
MARK CONRAD OTTELIN
Active
Individual
MARK CONRAD OTTELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64398
BLUE CROSS BLUE SHIELD
NC
05
—
8964398
—
NC
Enumeration date
09/23/2005
Last updated
02/11/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up