MELANIE C CLARK (NPI# 1306272687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306272687 |
| Entity Type | Individual |
| Full Name | MELANIE C CLARK |
| Credential | NP |
| Practice Address |
35 Gilbert St Cambridge Family Health Center Cambridge NY 12816-2618 |
| Mailing Address |
100 Park Street Glens Falls Hospital - Credentialing Glens Falls NY 12801-4413 |
| Practice Telephone | 5186773961 |
| Practice Fax Number | 5186773180 |
| Mailing Telephone | 5189266992 |
| Mailing Fax Number | 5189266983 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
338313 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1689015075 | Melanie Dawn Clark | Optometrist | 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | 2013-07-12 |
| 1225386139 | Melanie R Clark | Counselor | 603 Main St, Ashton, IL 61006-9230 | 2012-08-27 |
| Street Address |
35 GILBERT ST CAMBRIDGE FAMILY HEALTH CENTER |
| City | CAMBRIDGE |
| State | NY |
| Zip Code | 12816-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538157623 | Jennifer Baker-porazinski | Family Medicine | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2005-10-12 |
| 1780174516 | Janet M Oliver | Nurse Practitioner | 35 Gilbert St, Cambridge, NY 12816-2618 | 2018-05-17 |
| 1598012015 | Glens Falls Hospital Inc | Family Medicine | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2012-08-15 |
| 1235425653 | William P. Keating | Social Worker | 35 Gilbert St, Cambridge, NY 12816-2618 | 2011-06-23 |
| 1528363009 | Peter J Hughes | Physical Therapist | 35 Gilbert St, Cambridge, NY 12816-2618 | 2011-01-14 |
| 1144438128 | Jack P Parillo | Internal Medicine | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2007-05-21 |
| 1225150717 | Raymond J Short | Social Worker | 35 Gilbert St, Cambridge, NY 12816-2618 | 2007-04-04 |
| 1861574055 | Howard A Freed | Emergency Medicine | 35 Gilbert St, Cambridge, NY 12816-2618 | 2006-10-19 |
| 1134212673 | Gayle B Depan-cartier | Physician Assistant | 35 Gilbert St, Cambridge, NY 12816-2618 | 2006-10-02 |
| 1285678938 | Ella Ruth Derbyshire | Family Medicine | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558477596 | Ellen Marie Biggers | Obstetrics & Gynecology | 22 North Park Street, Cambridge, NY 12816 | 2006-08-22 |
| 1750385381 | Joanne Steele | Nurse Practitioner | 57 W Main St, Cambridge, NY 12816 | 2005-06-10 |
| 1669513685 | Francis Stanley Pultorak | Dentist | 14 Myrtle Ave, Cambridge, NY 12816-1004 | 2007-02-11 |
| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1861640526 | Bridget O Rowan | Pharmacist | 55 W Main St, Cambridge, NY 12816-1021 | 2008-09-05 |
| 1457433260 | Ohearns Pharmacy Inc | Pharmacist | 55 W Main St, Cambridge, NY 12816-1021 | 2006-10-20 |
| 1518935741 | Heather K Alden | Chiropractor | 57 W Main St, Cambridge, NY 12816-1021 | 2006-03-14 |
| 1699094656 | Michael Fredrick Bohley | Counselor | 84 W Main St, Suite 2, Cambridge, NY 12816-1086 | 2010-05-28 |
| 1154501872 | David Lester | Pharmacist | 2 N Park St, Cambridge, NY 12816-1105 | 2007-11-09 |
| 1356450662 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 2 North Park Street, Cambridge, NY 12816-1105 | 2006-08-30 |
| Find all providers in zip 12816 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
| 1922626068 | Holly Grace Duddy | Nurse Practitioner | 111 Sciarappa St Apt 3, Cambridge, MA 02141-2149 | 2020-07-06 |
| 1447877311 | Page Tomlinson | Nurse Practitioner | 272 No Main St Suite 101, Cambridge, VT 05444-0102 | 2020-06-26 |
| 1053948828 | Afomia Bekele | Nurse Practitioner | 603 Concord Ave Unit 204, Cambridge, MA 02138-1198 | 2020-03-23 |
| 1366072647 | Megan Oslund | Nurse Practitioner | 1586 345th Trl Ne, Cambridge, MN 55008-5711 | 2020-01-25 |
| 1538705314 | Jennifer Marlene Hess | Nurse Practitioner | 14011 E Pike Rd, Cambridge, OH 43725-9166 | 2019-11-27 |
| 1841780038 | Cassie Lynn Hugebeck | Nurse Practitioner | 62089 Savage Rd, Cambridge, OH 43725-9760 | 2018-05-14 |
| 1497275804 | Blake Coulter Mcknight | Nurse Practitioner | 272 North Main Street, #101, Cambridge, VT 05444 | 2017-06-27 |
| 1669922589 | Molly Ariel Shear | Nurse Practitioner | 29 Copley St, Cambridge, MA 02138-1238 | 2016-10-04 |
| 1508268061 | Erica Tassinari | Nurse Practitioner | 300 Mount Auburn St Ste 310, Cambridge, MA 02138-5665 | 2014-09-16 |
| Find all providers in CAMBRIDGE | ||||
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| 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.