MARK A. NOLAN MD
NPI 1265926570
Pediatrics - Neonatal-Perinatal Medicine in Salt Lake City, UT

Q: What is Mark Nolan's NPI number?

The NPI number for Mark Nolan is 1265926570. It was assigned to this individual provider in the NPPES registry on June 20, 2018. The provider is also known as Mark Novis.

Q: What is Mark Nolan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Nolan was last updated on May 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2018PECOS Enrolled

295 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 662-4180 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2021, Jun 20, 2018 (2 updates tracked since 2018).

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About Mark A. Nolan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A. NOLAN MD (NPI 1265926570) is an individual neonatal-perinatal medicine provider in Salt Lake City, Utah, licensed in Utah (12236682-1205) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1265926570

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameMARK A. NOLANCredential: MD

Location Address295 S CHIPETA WAYSalt Lake City, UT 84108-1287

Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287 · (801) 662-4180

Phone(801) 662-4180

Sole ProprietorNo

Enumeration DateJune 20, 2018

Last NPPES UpdateMay 27, 20212 updates tracked since enumeration

NPPES CertifiedMay 27, 2021

✔ NPI 1265926570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in UT · 12236682-1205

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 4301115417 (MI)

295 S CHIPETA WAY, Salt Lake City, UT 84108

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Other Names 1

Former Name (1)Mark Novis

Secondary Practice Location 1

Location 1330 Barclay Ave NE Ste 300Grand Rapids, MI 49503-2527 · Phone (616) 391-8810 · Fax (616) 391-8897

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A. Nolan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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