DR. MARK HARRIS MELLOW (NPI# 1366426298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366426298 |
Entity Type | Individual |
Full Name | DR. MARK HARRIS MELLOW |
Credential | M.D. |
Practice Address |
3366 Nw Expressway St 650 Oklahoma City OK 73112-4462 |
Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
Practice Telephone | 4057134430 |
Practice Fax Number | 4057134429 |
Mailing Telephone | 4057134430 |
Mailing Fax Number | 4057134429 |
Enumeration Date | 2005-12-05 |
Last Update Date | 2014-04-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
108354 | NY | Allopathic & Osteopathic Physicians |
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
36011 | MA | Allopathic & Osteopathic Physicians |
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
14105 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100019460A | 05 |
Street Address |
3366 NW EXPRESSWAY ST 650 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112-4462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821208182 | Mark S. Sullivan, M.d., Pllc | Specialist | 3366 Nw Expressway St, Suite 720, Oklahoma City, OK 73112-4462 | 2007-05-23 |
1639388804 | Nancy Satzler Md PC | Medical Genetics, Ph.D. Medical Genetics | 3366 Nw Expressway St, Suite 280, Oklahoma City, OK 73112-4462 | 2007-05-22 |
1598894594 | Laura M Propester | Physician Assistant | 3366 Nw Expressway St, Suite 330, Oklahoma City, OK 73112-4462 | 2007-03-05 |
1124160056 | Anupa Khastgir Md PC | Internal Medicine | 3366 Nw Expressway St, Suite 208, Oklahoma City, OK 73112-4462 | 2007-02-14 |
1194867028 | Terrance Khastgir Md PC | Internal Medicine | 3366 Nw Expressway St, Suite 280, Oklahoma City, OK 73112-4462 | 2007-02-14 |
1861418014 | William W Cook Md P C | Specialist | 3366 Nw Expressway St, Suite 660, Oklahoma City, OK 73112-4462 | 2006-07-14 |
1306862560 | Dennis M Parker Md Inc | Specialist | 3366 Nw Expressway St, Ste 660, Oklahoma City, OK 73112-4462 | 2006-07-14 |
1912923178 | Azhar U Khan Md PC | Specialist | 3366 Nw Expressway St, Suite 660, Oklahoma City, OK 73112-4462 | 2006-07-14 |
1619993870 | Nancy N Nagle Md PC | Specialist | 3366 Nw Expressway St, Suite 660, Oklahoma City, OK 73112-4462 | 2006-07-14 |
1497770911 | Santiago Reyes | Pediatrics | 3366 Nw Expressway St, Suite 330, Oklahoma City, OK 73112-4462 | 2006-07-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
Find all providers in zip 73112 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568706554 | Ahmad S Jazzar | Internal Medicine | 5617 Normandy Ter, Oklahoma City, OK 73142-1823 | 2012-11-15 |
1730444886 | Molly Beth Lindquist Disbrow | Internal Medicine | 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 | 2012-07-05 |
1306111448 | Southwest Gastroenterology Associates Pllc | Internal Medicine | 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 | 2012-03-21 |
1528199866 | Verapan Vongthavaravat | Internal Medicine | 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 | 2007-03-08 |
1992852875 | Shih-kuang Hong | Internal Medicine | 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 | 2007-01-04 |
1083709430 | Imad A Zantout | Internal Medicine | 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 | 2006-10-03 |
1659308435 | Rajesh Kanagala | Internal Medicine | 825 Ne 10th St # Street4e, Oklahoma City, OK 73104-5417 | 2006-06-27 |
1649245929 | Jeff D Scott | Internal Medicine | 5015 N Pennsylvania Ave, Suite 303, Oklahoma City, OK 73112-8891 | 2006-02-21 |
1285606491 | Sophia Janjua Khan | Internal Medicine | 4205 Mcauley Blvd Ste 375, Oklahoma City, OK 73120 | 2006-02-02 |
1639153554 | Ross Stanford Keener | Internal Medicine | 4201 S Western Ave, Oklahoma City, OK 73109-3410 | 2005-12-05 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73112 |
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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.