Individual provider Active NPI

Mark Alexander Calderwood, MD

  • Ophthalmology Physician
  • Hamilton, MT
National Provider Identifier
1447353024
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MED-PHYS-LIC-7129 Issued in MT
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

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100029272MedicaidMT
1447353024MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000258 MT Practitioner - Ophthalmology 1759360381 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation CurrentSince Feb 1, 2007 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Feb 1, 2007 Accepting new patients
Marcus Daly Memorial Hospital Corporation Ophthalmology CurrentSince Jul 1, 2001 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

  • Direct secure messaging: markcalderwood@mdmh.cernerdirect.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.