NPIMap

Organization Active NPI

Mark R Comaratta MD PC

  • Ophthalmology Physician
  • Bozeman, MT
National Provider Identifier
1174869325
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MARK R COMARATTA MD PC
Practice address
1940 W Dickerson St
Suite 103
Bozeman, MT 59718-6851
Phone
(406) 284-2370
Fax
(406) 284-2372
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark R Comaratta, M.D.NPI 1144286121
Title
Owner
Phone
(406) 284-2370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1940 W Dickerson St
Suite 103
Bozeman, MT 59718-6851

Mailing address

1940 W Dickerson St
Suite 103
Bozeman, MT 59718-6851
Phone (406) 284-2370

National Provider Directory

National Provider Directory

Locations

1940 W Dickerson St
Ste 103
Bozeman, MT 59718
Phone (406) 224-2370

Interoperability endpoints

  • Direct secure messaging: mcomaratta@bozeman.intellechartdirect.net
  • Direct secure messaging: dredick@bozeman.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1174869325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W DICKERSON ST",
            "address_2": "SUITE 103",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186851",
            "telephone_number": "406-284-2370",
            "fax_number": "406-284-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W DICKERSON ST",
            "address_2": "SUITE 103",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186851",
            "telephone_number": "406-284-2370",
            "fax_number": "406-284-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R COMARATTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "COMARATTA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-284-2370",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.