Active NPI
Melissa Clark
- Certified Registered Nurse Anesthetist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020839
- Practice address
- 410 W 10TH Ave FL 1
Columbus, OH 43210-1240 - Phone
- (614) 293-8487
- Fax
- (614) 293-8153
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.372889 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020839 | OH | Primary |
Addresses
Primary practice location
410 W 10TH Ave FL 1
Columbus, OH 43210-1240
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8487
Other practice location 1
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (000) 000-0000
Other practice location 2
158 W Main Rd
Conneaut, OH 44030-2039
Phone (000) 000-0000
Other practice location 3
870 W Main St
Geneva, OH 44041-1219
Phone (000) 000-0000
Other practice location 4
3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (000) 000-0000
Other practice location 5
6847 N Chestnut St # 44266
Ravenna, OH 44266-3929
Phone (000) 000-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (216) 383-0100
13207 Ravenna Rd H
Chardon, OH 44024-7032
Phone (216) 383-0100
158 W Main Rd
Conneaut, OH 44030-2039
815 Freeport Rd
Pittsburgh, PA 15215-3301
Phone (412) 383-3200
815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396
870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.372889 | OH | MD | Registered Nurse |
| APRN.CRNA.0020839 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Safe Anesthesia Geneva LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Safe Anesthesia Chardon LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bel-Park Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| The Gastroenterology Clinic & Endoscopy Center Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients |
Locations
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606
1622 E Market St
Warren, OH 44483
Phone (330) 399-7215
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000
Interoperability endpoints
- mclark292322@ehrdirect.uhhospitals.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Geneva, OH
- NPI 1821327636
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1508813528
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chardon, OH
- NPI 1740599976
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Warren, OH
- NPI 1952497117
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1033125455
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
- Rehabilitation Hospital Unit
- Pittsburgh, PA
- NPI 1285644823
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1790795359
-
- Geriatric Medicine (Internal Medicine) Physician
- Pittsburgh, PA
- NPI 1225088313
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1710557871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8487",
"fax_number": "614-293-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE FL 1",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-8487",
"fax_number": "614-293-8153"
}
],
"practiceLocations": [
{
"address_1": "13207 Ravenna Rd",
"address_purpose": "LOCATION",
"city": "Chardon",
"state": "OH",
"postal_code": "440247032",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "158 W Main Rd",
"address_purpose": "LOCATION",
"city": "Conneaut",
"state": "OH",
"postal_code": "440302039",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "870 W Main St",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "OH",
"postal_code": "440411219",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3999 Richmond Rd",
"address_purpose": "LOCATION",
"city": "Beachwood",
"state": "OH",
"postal_code": "441226046",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6847 N Chestnut St # 44266",
"address_purpose": "LOCATION",
"city": "Ravenna",
"state": "OH",
"postal_code": "442663929",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.372889",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.