Melvin J Clark (NPI# 1093704751, PAC ID# 2860388303) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1093704751 |
| PAC ID by PECOS | 2860388303 |
| Professional Enrollment ID | I20111024000719 |
| Full Name | Melvin J Clark |
| Organization Legal Name | DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM |
| Address |
4212 N 16th St Phoenix AZ 85016-5319 |
| Phone Number | 6022631200 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1759290901 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030078 | PHOENIX INDIAN MEDICAL CENTER |
| 031307 | PARKER INDIAN HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4212 N 16th St, Phoenix, AZ 85016-5319 | 6022631200 | DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM |
| Organization Legal Name | DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven N Thompson | Nurse Practitioner | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 10005 E Osborn Rd, Salt River Clinic, Scottsdale, AZ 85256-4019 |
| Sharyn M Healy | Optometry | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 2121 W Reservation Loop Rd, Camp Verde, AZ 86322 |
| Jenny Mcdonald | Certified Registered Nurse Anesthetist (crna) | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Karen C Adams | Obstetrics/gynecology | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| John N Bode | Diagnostic Radiology | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Christopher J Bengson | Dermatology | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Eunis Bello | Podiatry | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Roger A Smith | Emergency Medicine | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Alfonso Flores | Certified Registered Nurse Anesthetist (crna) | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Richard F Arakaki | Endocrinology | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Street Address |
4212 N 16TH ST |
| City | PHOENIX |
| State | AZ |
| Zip | 85016-5319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenny Mcdonald | Certified Registered Nurse Anesthetist (crna) | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Karen C Adams | Obstetrics/gynecology | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| John N Bode | Diagnostic Radiology | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Christopher J Bengson | Dermatology | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Eunis Bello | Podiatry | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Roger A Smith | Emergency Medicine | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Alfonso Flores | Certified Registered Nurse Anesthetist (crna) | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Richard F Arakaki | Endocrinology | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Douglas C Chang | Internal Medicine | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Ayyasamy P. Selvam | Internal Medicine | Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm | 4212 N 16th St, Phoenix, AZ 85016-5319 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Stone Iii | Undefined Physician Type (specify) | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Shazia A Malik | Obstetrics/gynecology | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Paul W Dickerson | Chiropractic | Paul W Dickerson Dc, Ltd | 6522 N 16th St, Suite 4, Phoenix, AZ 85016-1343 |
| Jill A Mehlhaf | Anesthesiology | 6245 N 16th St, Phoenix, AZ 85016-1706 | |
| Timothy O Fearon | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| David M Roessler | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Lauri Lazarus | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Ryan Hamic | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| William M Jacobsen | Plastic and Reconstructive Surgery | 2525 E Arizona Biltmore Cir, Suite C236, Phoenix, AZ 85016-2130 | |
| Gagandeep Arora | Chiropractic | Innovative Pain and Wellness Plc | 3135 E Lincoln Dr, Suite B, Phoenix, AZ 85016-2301 |
| Find all physicians in zip 85016 | |||
| City | PHOENIX |
| Zip Code | 85016 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PHOENIX + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Melvin J Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.