Mark Olcott, M.D., Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A55234 Issued in CA

Legal business name

MARK OLCOTT, M.D., INC.

Doing business as

Mission Medical Support

Practice address

3609 Lotus Dr
San Diego, CA 92106-1136

Phone

(619) 261-7427

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Olcott, MDNPI 1669474417

Title

President/Owner

Phone

(619) 261-7427

Specialties & licenses 1

Addresses

Other names 1

• Mission Medical Support Doing business as

Tax ID family

Mark Olcott MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mark Olcott, M.D., Inc.

  dba Mission Medical Support

  • Emergency Medicine Physician
  • San Ysidro, CA
  • NPI 1366909533
  NPD tax ID

Practitioners 1

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.

• Mark Vernon Olcott, MD

  • Emergency Medicine Physician
  • La Jolla, CA
  • NPI 1669474417
  NPD (past) Authorized official

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1962947317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 LOTUS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061136",
            "telephone_number": "619-261-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 LOTUS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061136",
            "telephone_number": "619-261-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK OLCOTT, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "OLCOTT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-261-7427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A55234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Medical Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Lyman Magulac M.D., a Professional Corporation
• Mark Lytle Associates a Psychology Corporation
• Mark Magulac MD a Professional Corporation
• Mark Mashike Chiropractic (Results Chiropractic Offices)
• Mark Mashike Chiropractic (Results Chiropractic)
• Mark P. Stanton M.D. Inc.
• Mark R Medina & Thomas Kerrian (Rancho Penasquitos Dental Center)
• Mark S. Austerlitz, M.D., a Medical Corporation
• Mark W. Bondi, PHD, Abpp-CN, Psychologist, Apc (Beacon Neuropsychology)
• Leslie Alison Mark, M.D.

• Emergency Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.