Active NPI
Mark Alexander Calderwood, MD
- Ophthalmology Physician
- Hamilton, MT
National Provider Identifier
1447353024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MED-PHYS-LIC-7129
- Practice address
- 300 N 10TH St Ste a
Hamilton, MT 59840-5322 - Phone
- (406) 363-5434
- Fax
- (406) 363-5210
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MED-PHYS-LIC-7129 | MT | Primary |
Addresses
Primary practice location
300 N 10TH St Ste a
Hamilton, MT 59840-5322
Mailing address
1200 Westwood Dr
Hamilton, MT 59840-2345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100029272 | Medicaid | MT | |
| 1447353024 | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MARKCALDERWOODMDMHCERNERDIRECTCOM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Ophthalmology | Current | Accepting new patients |
Locations
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
300 N 10th St
Ste A
Hamilton, MT 59840
Phone (406) 363-5434
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
Interoperability endpoints
- markcalderwood@mdmh.cernerdirect.com
- mcalderwood@bitterrooteye.intellechartdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
- Ophthalmology Physician
- Hamilton, MT
- NPI 1285676445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1447353024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 WESTWOOD DR",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 10TH ST STE A",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598405322",
"telephone_number": "406-363-5434",
"fax_number": "406-363-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERWOOD",
"first_name": "MARK",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MT",
"license": "MED-PHYS-LIC-7129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100029272",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447353024",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MARKCALDERWOODMDMHCERNERDIRECTCOM",
"affiliation": "N",
"address_1": "300 N 10th St",
"address_2": "Suite A",
"city": "Hamilton",
"state": "MT",
"country_code": "US",
"postal_code": "598405322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.