TIMOTHY A CLARK


Address: 2250 Millennium Way, Ste 400, Enola, PA 17025
Phone: 7177242791

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
MD067096L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 001821036 05

Other Providers TIMOTHY CLARK

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

Office Location

Street Address 2250 MILLENNIUM WAY
STE 400
City ENOLA
State PA
Zip Code 17025

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City ENOLA
Zip Code 17025

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Dataset Information

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.

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