Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Conrad Ottelin, MD

Individual provider Urology Physician · NPI 1164418216

Mark Conrad Ottelin, MD is an Urology Physician in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

509 N Elam Ave Fl 2
Greensboro, NC 27403-1157
Phone: (336) 274-1114
Fax: (336) 232-5325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 35458 (NC)

Record details

NPI number1164418216
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESFebruary 11, 2011

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