Mark Comnick, D.O.
Individual provider Active NPI Family Medicine Physician · Washington, DC
NPI 1689652182 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689652182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 228 (NE)
- Practice address
- Comdt (CG-1122) U.S. Coast Guard
2100 2ND St SW, Ste 5314
Washington, DC 20593-0001 - Phone
- (231) 922-8282
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228 | NE | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 228 | NE | Yes |
Addresses
Primary practice location
Comdt (CG-1122) U.S. Coast Guard
2100 2ND St SW, Ste 5314
Washington, DC 20593-0001
Mailing address
Comdt (CG-1122) US Coast Guard
2100 2ND St SW, Suite 5314
Washington, DC 20593-0001
Phone (231) 922-8282
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All providers in Washington, DC · Family Medicine Physician in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.