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DR. MELISSA AVIVA CLARK M.D.
NPI 1346236775
Family Medicine in Columbia, MD

Active since September 21, 2005
9710 PATUXENT WOODS DR, SUITE 200, COLUMBIA, MD 21046(301) 575-8080 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Melissa Aviva Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELISSA AVIVA CLARK M.D. (NPI 1346236775) is an individual family medicine provider in Columbia, Maryland, licensed in Maryland (D70056) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1346236775
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELISSA AVIVA CLARKCredential: M.D.
Location Address9710 PATUXENT WOODS DR, SUITE 200Columbia, MD 21046-1526
Mailing Address800s Frederick Ave 100Gaithersburg, MD 20877-4151 · (301) 355-2013 · Fax (301) 963-0072
Phone(301) 575-8080
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJuly 14, 2015
✔ NPI 1346236775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D70056✔ Licensed in IL · 036-105536
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9710 PATUXENT WOODS DR, Columbia, MD 21046
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Other Identifiers 2

Medicaid036-105536IL
Medicare UPINH75694IL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOUR HEALTH NETWORK, INC.
Family Medicine
9710 PATUXENT WOODS DR, SUITE 200
COLUMBIA, MD 21046
Howard County (301) 575-8080
GRACE RUDATSIKIRA
Social Worker (Clinical)
9710 PATUXENT WOODS DR, SUITE 200
COLUMBIA, MD 21046
Howard County (301) 575-8080
MISS GRACE FITZPATRICK FNP-C
Nurse Practitioner (Family)
9710 PATUXENT WOODS DR, SUITE 200
COLUMBIA, MD 21046
Howard County (301) 575-8080
DR. AMANDA L SOLLARS MD
Family Medicine
9710 PATUXENT WOODS DR, SUITE 200
COLUMBIA, MD 21046
Howard County (301) 575-8080
YOUR HEALTH NETWORK, INC.
Counselor
9710 PATUXENT WOODS DR, SUITE 200
COLUMBIA, MD 21046
Howard County (301) 575-8080
YOUR HEALTH NETWORK
Clinic/Center (Primary Care)
9710 PATUXENT WOODS DR, SUITE 200
COLUMBIA, MD 21046
Howard County (301) 575-8080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1346236775. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Melissa Clark located?

Melissa Clark practices at 9710 Patuxent Woods Dr Suite 200, Columbia, MD 21046. The listed phone number is (301) 575-8080.

What is Melissa Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Melissa Clark was last updated on July 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.