TIMOTHY WILLIAM INGRAHAM CLARK


Address: 51 N. 39th Street, Philadelphia, PA 19104
Phone: 2156623005

TIMOTHY WILLIAM INGRAHAM CLARK (NPI# 1588629885) 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) 1588629885
Entity Type Individual
Full Name TIMOTHY WILLIAM INGRAHAM CLARK
Credential MD
Practice Address 51 N. 39th Street
Philadelphia
PA 19104
Practice Telephone 2156623005
Mailing Telephone 2156623005
Enumeration Date 2006-04-19
Last Update Date 2018-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD065636L PA Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MD065636L PA Allopathic & Osteopathic Physicians

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 51 N. 39TH STREET
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518954395 Nevena Damjanov Internal Medicine 51 N. 39th Street, 103a Medical Arts Building, Philadelphia, PA 19104-2640 2005-10-05
1356801807 Monica Gupta Student in an Organized Health Care Education/Training Program 51 N. 39th Street, 6th Floor, Philadelphia, PA 19104 2019-03-21
1144792276 Elizabeth Anne Larijani Pharmacist 51 N. 39th Street, Abramson Cancer Center, Philadelphia, PA 19104 2018-12-31
1518455948 Cathrine A Stark Student in an Organized Health Care Education/Training Program 51 N. 39th Street, Mab 211, Philadelphia, PA 19104 2018-05-01
1891132726 Allison Marian Paisley Nurse Practitioner 51 N. 39th Street, Philadelphia, PA 19104 2013-06-01
1972895365 Laura N Medford-davis Emergency Medicine 51 N. 39th Street, M01, Philadelphia, PA 19104 2011-05-04
1023335114 Sean D Foster Emergency Medicine 51 N. 39th Street, -myrin - M01, Philadelphia, PA 19104 2010-04-28
1750511713 Alice A T Mcgill Physician Assistant 51 N. 39th Street, Mob 300, Philadelphia, PA 19104-2640 2009-07-23
1093949737 Rachael Susan Truchil Internal Medicine 51 N. 39th Street, Philadelphia, PA 19104 2009-05-11
1962643254 Christopher D O'brien Internal Medicine 51 N. 39th Street, Phi 1st Floor, Philadelphia, PA 19104-2640 2009-03-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184854531 John Yoon Radiology 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 2009-07-20
1144423096 Jonathan Ira Lieberman Radiology 1016 Chestnut St, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5010 2007-06-07
1336188945 David R. Hertzog Radiology 2412 W Passyunk Ave, Philadelphia, PA 19145-4114 2006-06-06
1760441760 James Frederick Mcguckin Jr. Radiology 2929 Arch Street, Suite 1705, Philadelphia, PA 19104-2866 2006-03-20
1588639819 American Access Care of Sp LLC Radiology 2412-14 West Passyunk Ave., Philadelphia, PA 19145-4114 2006-02-21
1104816453 Huynh Doan Radiology Broad & Vine St, Philadelphia, PA 19102 2005-10-27
1174513105 Mark Hysell Radiology Broad & Vine St S, Philadelphia, PA 19102 2005-10-21
1699774257 Image Guided Surgery Associates, PC Radiology 5735 Ridge Ave, Ste 106, Philadelphia, PA 19128-1745 2005-07-17
1033753405 Stc Pediatrics LLC Radiology 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-29
1033670153 Jung Hyun Yun Radiology 5501 Old York Road, Philadelphia, PA 19141 2019-03-29
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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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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