THOMAS CLARK PA NPI 1932142056

NPI Information

  • NPI: 1932142056
  • Provider Name: THOMAS CLARK, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 4924 CAMPBELL BLVD
    BALTIMORE, MD
    ZIP 21236
  • Phone: (443) 442-2300

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NPI Details

Thomas Clark, PA is a medical physician assistant in Baltimore, MD. Thomas Clark, PA NPI is 1932142056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4924 CAMPBELL BLVD
BALTIMORE, MD
ZIP 21236-908
Phone: (443) 442-2300

The enumeration date for this NPI number is 6/14/2006 and was last updated on 5/9/2013.

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
1363AM0700XPhysician AssistantMedicalC0000159MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S76621MEDICARE UPINMARYLAND
2970011935OTHERMARYLANDRAILROAD MEDICARE
3R164MEDICARE PINMARYLAND
4KS17947XMEDICARE ID-TYPE UNSPECIFIEDMARYLAND
5489PR164MEDICARE PINMARYLAND

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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