MARIANNE K MELNIK (NPI# 1629142658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629142658 |
| Entity Type | Individual |
| Full Name | MARIANNE K MELNIK |
| Credential | MD |
| Practice Address |
145 Michigan St Ne Suite 4400 Grand Rapids MI 49503-2562 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164866333 |
| Practice Fax Number | 6164866399 |
| Mailing Telephone | 6164866333 |
| Mailing Fax Number | 6164866399 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ML067619 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ML067619 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
4301067619 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104745617 | 05 | |
| MI | BCBS | ML067619 | 01 |
| Street Address |
145 MICHIGAN ST NE SUITE 4400 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290491 | Alan D Campbell | Internal Medicine | 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 | 2005-07-26 |
| 1861994642 | Amy Dawn Colthorp | Occupational Therapist | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2018-03-07 |
| 1073031464 | Jenna Anne Towns | Physician Assistant | 145 Michigan St Ne, Grand Rapids, MI 49503 | 2017-09-06 |
| 1629516661 | Jamie Albert | Nurse Practitioner | 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503-2562 | 2017-02-10 |
| 1255888905 | Laura Supplee | Genetic Counselor, MS | 145 Michigan St Ne, Suite 2200, Grand Rapids, MI 49503-2562 | 2016-09-09 |
| 1538616297 | Melissa Zuteck | Genetic Counselor, MS | 145 Michigan St Ne, Suite 2200, Grand Rapids, MI 49503-2562 | 2016-09-09 |
| 1124573134 | Daniel Lajoie | Nurse Practitioner | 145 Michigan St Ne, Suite 3410, Grand Rapids, MI 49503-2562 | 2016-08-19 |
| 1306390950 | Randa Preihs | Nurse Practitioner | 145 Michigan St Ne, Suite 5500, Grand Rapids, MI 49503-2562 | 2016-08-12 |
| 1881047652 | Nicole Harpold | Nurse Practitioner | 145 Michigan St Ne, Suite 3410, Grand Rapids, MI 49503-2562 | 2016-07-18 |
| 1205287547 | Heather E Levanduski | Social Worker | 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 | 2016-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992007660 | Spectrum Health Hospitals | Surgery | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2010-12-01 |
| 1124290341 | Michigan Medical Patient Care | Surgery | 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 | 2008-03-27 |
| 1114139045 | Academic Surgical Associates, Pllc | Surgery | 1000 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546-3691 | 2007-05-04 |
| 1386685592 | Mathew Chung | Surgery | 145 Michigan St Ne, Suite 5500, Grand Rapids, MI 49503-2562 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295970598 | Susan Marguerite Sharpe | Surgery | 2122 Health Dr Sw Ste 160a, Wyoming, MI 49519-9698 | 2008-12-16 |
| 1295871184 | Dr Sukamal Saha Md PC | Surgery | 3500 Calkins Rd, Suite A, Flint, MI 48532-3506 | 2007-01-29 |
| 1831105550 | John Maclin Barnwell Sr. | Surgery | 18709 Meyers Rd., Detroit, MI 48235 | 2006-08-01 |
| 1336154772 | John M Barnwell Md Pllc | Surgery | 18709 Meyers Rd, Detroit, MI 48235-1310 | 2006-07-31 |
| 1558307926 | E Michael Lodish Do PC | Surgery | 3272 E 12 Mile Rd, Ste 102, Warren, MI 48092-5622 | 2006-06-22 |
| 1427056175 | Sukamal Saha | Surgery | 3500 Calkins Road, Suite A, Flint, MI 48532-3685 | 2005-07-07 |
| 1417510116 | Yasser All Haji | Surgery | 11800 E 12 Mile Rd, Warren, MI 48093 | 2019-04-17 |
| 1811434772 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1679705339 | Rupen Ashok Kumar Shah | Surgery | 2799 W Grand Blvd, General Surgery K-8, Detroit, MI 48202-2608 | 2009-08-13 |
| 1356572135 | Douglas M Iddings PC | Surgery | 302 Kensington Ave, Flint, MI 48503-2044 | 2009-07-28 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.