MELANIE J. CLARK (NPI# 1245593854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245593854 |
| Entity Type | Individual |
| Full Name | MELANIE J. CLARK |
| Practice Address |
11050 Parkview Circle Dr Fort Wayne IN 46845-1739 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2602667894 |
| Mailing Telephone | 2602666013 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01080196A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732465 | Melanie A Clark | Psychiatry & Neurology | 930 Southern Ave, Kalamazoo, MI 49001-4337 | 2015-02-11 |
| 1912276320 | Melanie J. Clark | Speech-Language Pathologist | 1 Avondale Ave, North Hornell School, Hornell, NY 14843-1001 | 2011-12-14 |
| 1114201795 | Melanie Jo Clark | Nurse Practitioner | 7926 Preston Highway, Suite 106, Louisville, KY 40219-3848 | 2011-09-30 |
| 1164692711 | Melanie Helene Clark | Radiology | 4354a Old Shell Rd # 324, Mobile, AL 36608-2011 | 2008-03-10 |
| 1376556621 | Melanie Clark | Counselor | 1904 Royal Ave, Monroe, LA 71201 | 2006-08-15 |
| 1376190595 | Melanie Clark | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2019-08-22 |
| 1841721511 | Melanie Patrice Clark | Counselor | 3730 Kirby Drive, Suite 904, Houston, TX 77098 | 2017-03-24 |
| 1952781403 | Melanie Clark | Day Training/Habilitation Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2015-05-30 |
| 1306272687 | Melanie C Clark | Nurse Practitioner | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2013-09-19 |
| 1689015075 | Melanie Dawn Clark | Optometrist | 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | 2013-07-12 |
| Street Address |
11050 PARKVIEW CIRCLE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289701 | Linda K Han | Surgery | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2005-07-20 |
| 1457965972 | Christa Michelle Houser | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-09-02 |
| 1457973331 | Molly Brennan | Dietitian, Registered | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-05-13 |
| 1568084978 | Lauren Harden | Dietitian, Registered | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-05-08 |
| 1053942458 | Catherine Meyer | Nurse Practitioner | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-02-04 |
| 1760037394 | David Rosenbeck | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-08-09 |
| 1497309371 | Emily Grindley | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-07-29 |
| 1992358063 | Brittany L Hartman | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-07-18 |
| 1326609173 | Kristin N Oehler | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-06-24 |
| 1285195339 | Ethan K Bennett | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232156 | Charles J Whalen | Internal Medicine | 2514 E Dupont Rd, Fort Wayne, IN 46825-1623 | 2005-08-10 |
| 1073515987 | Praveen Kollipara | Internal Medicine | 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | 2005-08-10 |
| 1598766925 | Farrukh M Adhami | Internal Medicine | 2514 E Dupont Rd Ste 100, Fort Wayne, IN 46825-1619 | 2005-08-09 |
| 1396008918 | Michael J. Toole | Internal Medicine | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2012-06-19 |
| 1841581931 | Sarah Yue Wang | Internal Medicine | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2011-04-25 |
| 1891968301 | Sunil Babu | Internal Medicine | 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | 2008-04-04 |
| 1134330061 | Ryan A Gonzales | Internal Medicine | 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | 2007-05-24 |
| 1508835174 | Robert F Manges | Internal Medicine | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2006-03-16 |
| 1639148232 | David M Zimmerman | Internal Medicine | 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | 2006-03-16 |
| 1831173269 | Yasolatha Nalamolu | Internal Medicine | 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | 2005-11-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on MELANIE J. CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.