DR. MARK HARRIS MELLOW


Address: 3366 Nw Expressway St, 650, Oklahoma City, OK 73112-4462
Phone: 4057134430

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OK 100019460A 05

Office Location

Street Address 3366 NW EXPRESSWAY ST
650
City OKLAHOMA CITY
State OK
Zip Code 73112-4462

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City OKLAHOMA CITY
Zip Code 73112

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Dataset Information

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.

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