CLARK TIMOTHY JOHNSON MD NPI 1497989305

NPI Information

  • NPI: 1497989305
  • Provider Name: CLARK TIMOTHY JOHNSON, MD
  • Classification: Obstetrics & Gynecology - 207VM0101X
  • Specialization: Maternal & Fetal Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 S 2ND ST STE 4B
    HARRISBURG, PA
    ZIP 17101
  • Phone: (717) 231-8472

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NPI Details

Clark Timothy Johnson, MD is a maternal and fetal medicine obstetrics gynecology in Harrisburg, PA with 16 years of experience. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. Clark Timothy Johnson, MD NPI is 1497989305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

100 S 2ND ST STE 4B
HARRISBURG, PA
ZIP 17101-546
Phone: (717) 231-8472
Fax: (717) 231-8490

The NPI 1497989305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 7/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyD76370MARYLANDNo
2207V00000XObstetrics & GynecologyMD490154PENNSYLVANIANo
3207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineMD490154PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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