Provider Demographics
NPI:1255605929
Name:MARK W HOWARD MD INC
Entity type:Organization
Organization Name:MARK W HOWARD MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BELUSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-655-5380
Mailing Address - Street 1:576 HARTNELL ST
Mailing Address - Street 2:200
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2833
Mailing Address - Country:US
Mailing Address - Phone:831-655-5380
Mailing Address - Fax:831-655-8129
Practice Address - Street 1:576 HARTNELL ST
Practice Address - Street 2:200
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2833
Practice Address - Country:US
Practice Address - Phone:831-655-5380
Practice Address - Fax:831-655-8129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG58286207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE72959Medicare UPIN