DR. MICHELLE MARIE CLARK (NPI# 1518347095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518347095 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE MARIE CLARK |
| Credential | M.D. |
| Practice Address |
1600 Rockland Rd Ste 3d16 Wilmington DE 19803 |
| Mailing Address |
3201 Fordham Rd Wilmington DE 19807-3117 |
| Practice Telephone | 3026514555 |
| Mailing Telephone | 2154996094 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | C1-0013781 | DE | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MT208882 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078947 | Michelle Jean Clark | Counselor | 318 S Welborn St Ste C, Hinesville, GA 31313-3127 | 2020-09-21 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1215488168 | Michelle Allison Clark | Nurse Practitioner | 413 Glenbrook Rd, 9, Stamford, CT 06906-2126 | 2016-10-16 |
| 1174995120 | Michelle Annette Clark | Massage Therapist | 1935 S I St Apt A, Apt A, Tacoma, WA 98405-3879 | 2015-10-28 |
| 1245620822 | Michelle Clark | Technician, Other | 715 Briar Hill Ln, Saginaw, MI 48609-5005 | 2015-02-03 |
| 1578987533 | Michelle Clark | Kinesiotherapist | 4573 Normandie Pl, La Mesa, CA 91942-8502 | 2014-02-12 |
| 1457624686 | Michelle Clark | Occupational Therapist | 6276 Jackie Ave, Woodland Hills, CA 91367-1422 | 2012-02-19 |
| 1922302967 | Michelle Clark | Occupational Therapist | 1930 Circle of Hope Dr Fl 2, Salt Lake City, UT 84132-0001 | 2011-01-05 |
| 1972813517 | Michelle Ann Clark | Marriage & Family Therapist | 10904 57th St Ne Ste 106, Albertville, MN 55301-4654 | 2010-10-18 |
| 1831322049 | Michelle Elise Clark | Naturopath | 537 Fore Dr, Bradenton, FL 34208-8447 | 2009-09-03 |
| Street Address |
1600 ROCKLAND RD STE 3D16 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770141681 | Soumya Manikonda | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-06-05 |
| 1063070613 | Meredith Ann Vieira | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-30 |
| 1558927400 | Matthew Craig Stewart | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-16 |
| 1780249227 | Liza Hashim | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-09 |
| 1487219903 | Catherine Maureen Marchetta | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-09 |
| 1396300943 | Clifford Hegedus | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-08 |
| 1972168714 | Michelle Eng | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-07 |
| 1285299107 | Erin Catherine Thomas | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-06 |
| 1215592506 | Tara Beck | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-02 |
| 1760046197 | Sarah Mumanachit | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803-3607 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| 1033363247 | James Monaghan | Social Worker | 99 Passmore Rd, Wilmington, DE 19803 | 2008-11-14 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1902217565 | Anusha Vadlamudi | Allergy & Immunology | 1017 Ashes Dr Ste 206, Wilmington, NC 28405-8308 | 2014-05-16 |
| 1104913417 | Allergy and Asthma Center, Inc | Allergy & Immunology | 110 Fairway Dr, Suite # 2, Wilmington, OH 45177-8756 | 2006-10-06 |
| 1548353345 | Leonard H Seltzer | Allergy & Immunology | 1309 Veale Rd, Suite 11, Wilmington, DE 19810-4609 | 2006-10-02 |
| 1760495097 | Michael Wydila | Allergy & Immunology | 1400 Philadelphia Pike, Suite A6, Wilmington, DE 19809 | 2006-08-15 |
| 1861470767 | Gregory V. Marcotte | Allergy & Immunology | 1700 Shallcross Ave, Suite 1, Wilmington, DE 19806-2344 | 2006-01-03 |
| 1831189992 | Allergy Partners, Pllc | Allergy & Immunology | 1017 Ashes Drive, Suite 206, Wilmington, NC 28405-8308 | 2005-10-28 |
| 1538159777 | Kenneth William Myers | Allergy & Immunology | 1017 Ashes Dr, Suite 206, Wilmington, NC 28405-8352 | 2005-10-27 |
| 1912997156 | Donald Miles Macqueen | Allergy & Immunology | 2321 Delaney Rd, Wilmington, NC 28403-6012 | 2005-10-27 |
| 1912904038 | David Peter Wien | Allergy & Immunology | 708 Greenbank Rd, Wilmington, DE 19808-3168 | 2005-07-05 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19803 |
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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.