TIMOTHY A CLARK (NPI# 1407814726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407814726 |
| Entity Type | Individual |
| Full Name | TIMOTHY A CLARK |
| Credential | MD |
| Practice Address |
2250 Millennium Way Ste 400 Enola PA 17025 |
| Practice Telephone | 7177242791 |
| Practice Fax Number | 7177242797 |
| Mailing Telephone | 7177242791 |
| Mailing Fax Number | 7177242797 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD067096L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001821036 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518492008 | Timothy Jerum Clark | Nurse Practitioner | 246 Hart Ave, Staten Island, NY 10310-3022 | 2017-04-22 |
| 1083096341 | Timothy Clark | Student in an Organized Health Care Education/Training Program | 521 S 7th St, Apt 502, Minneapolis, MN 55415-1620 | 2015-06-23 |
| 1154665446 | Timothy Ross Clark | Physical Therapy Assistant | 201 10th Ave N, Twin Falls, ID 83301-6372 | 2012-11-27 |
| 1013233477 | Timothy Albert Clark | Massage Therapist | 2010 Bonnycastle Ave Apt 1f, Louisville, KY 40205-1118 | 2010-04-10 |
| 1265501829 | Timothy K Clark | Counselor | 6341 Kyllenon Hill Rd, Clinton, WA 98236-8633 | 2006-11-07 |
| 1194800946 | Timothy Paul Clark | Dentist | 12392 Pleasant Ave., Becker, MN 55308-0098 | 2006-10-26 |
| 1609966415 | Timothy Lew Clark | Social Worker | 880 Lee Street, Suite 208, Des Plaines, IL 60016 | 2006-10-13 |
| 1538263801 | Timothy Clark | Social Worker | 1170 Main St Rt 6a, West Barnstable, MA 02665 | 2006-09-08 |
| 1043265663 | Timothy M Clark | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-05-23 |
| 1629027974 | Timothy Clark | Physician Assistant | 4201 Buffalo Road, North Chili, NY 14514 | 2006-05-06 |
| Street Address |
2250 MILLENNIUM WAY STE 400 |
| City | ENOLA |
| State | PA |
| Zip Code | 17025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629436787 | Kayla Marie Attig | Physical Therapist | 2250 Millennium Way, Suite 400, Enola, PA 17025-1488 | 2016-02-04 |
| 1326444175 | Preston C Casper | Physical Therapist | 2250 Millennium Way, Suite 400, Enola, PA 17025-1488 | 2014-11-06 |
| 1851723555 | Adrienne L Wickwire | Physical Therapist | 2250 Millennium Way, Suite 400, Enola, PA 17025-1488 | 2013-08-05 |
| 1235474560 | Drayer Physical Therapy Institute LLC | Physical Therapist | 2250 Millennium Way, Suite 400, Enola, PA 17025-1488 | 2012-11-27 |
| 1780618181 | Michael C Lescallette | Physical Therapist | 2250 Millennium Way, Suite 400, Enola, PA 17025-1488 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029658 | Penn State Health Hampden Medical Center | General Acute Care Hospital | 2200 Good Hope Road, Enola, PA 17025 | 2020-10-07 |
| 1326652009 | Keystone Hearing Center | Audiologist-Hearing Aid Fitter | 6891 Werzville Rd, Enola, PA 17025 | 2020-09-01 |
| 1316459480 | Joseph Franklin Thomas | Family Medicine | 1830 Good Hope Road, Enola, PA 17025 | 2017-10-30 |
| 1326312554 | Michele Barton | Occupational Therapy Assistant | 827 South Humer Street, Enola, PA 17025 | 2012-03-06 |
| 1477725232 | Christopher Peter Collins | Nurse Practitioner | 4510 Marketplace Way, Enola, PA 17025 | 2008-04-01 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| 1093770695 | Michael Gerard Bennese | Chiropractor | 30 East Shady Lane, Enola, PA 17025 | 2006-04-18 |
| 1851760011 | Mounika Sankaramaddi | Internal Medicine | 310 E Penn Dr, Enola, PA 17025 | 2015-09-17 |
| 1184016719 | Ashad Shahid Syed | Internal Medicine | 1830 Good Hope Rd, Enola, PA 17025 | 2015-02-18 |
| 1679594857 | Sleep Disorder Centers of Central Pennsylvania, Inc. | Internal Medicine | 2250 Millenium Way, Ste 400, Enola, PA 17025 | 2006-07-22 |
| Find all providers in zip 17025 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679594857 | Sleep Disorder Centers of Central Pennsylvania, Inc. | Internal Medicine | 2250 Millenium Way, Ste 400, Enola, PA 17025 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376171264 | Jamie Shawn Shatzman | Internal Medicine | 25 Harrison Dr, Newtown Square, PA 19073-1420 | 2020-03-28 |
| 1033746813 | Advanced Pulmonary Specialists | Internal Medicine | 846 Bank St, Beaver, PA 15009-2602 | 2020-03-24 |
| 1881229417 | Mark Arthur Stypula | Internal Medicine | 848 Arbordale Ln, Wexford, PA 15090-7439 | 2020-03-04 |
| 1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
| 1023595667 | Pulmonary Consultants Inc. | Internal Medicine | 1 Medical Center Blvd Ste 422, Chester, PA 19013-3902 | 2018-07-26 |
| 1013437250 | Pinnacle Health Regional Physicians | Internal Medicine | 1533 Commerce Ave Ste 3, Carlisle, PA 17015-9128 | 2017-06-20 |
| 1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
| 1831573146 | Meadville Physician Services | Internal Medicine | 751 Liberty St Ste G-19, Meadville, PA 16335-2559 | 2015-07-16 |
| 1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
| Find all providers with the same taxonomy | ||||
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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.