MICHAEL THOMAS CLARK CRNP
NPI 1366547515
Nurse Practitioner in Philadelphia, PA

Q: What is Michael Clark's NPI number?

The NPI number for Michael Clark is 1366547515. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Michael Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2006

3400 SPRUCE ST, GROUND SILVERSTEIN, PHILADELPHIA, PA 19104(215) 662-6963 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Michael Thomas Clark Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL THOMAS CLARK CRNP (NPI 1366547515) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP00179H) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1366547515

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMICHAEL THOMAS CLARKCredential: CRNP

Location Address3400 SPRUCE ST, GROUND SILVERSTEINPhiladelphia, PA 19104-4206

Mailing Address3624 Market St, Suite 560wPhiladelphia, PA 19104-2614 · (215) 662-2286 · Fax (215) 615-0500

Phone(215) 662-6963

Sole ProprietorNo

Enumeration DateSeptember 13, 2006

Last NPPES UpdateMay 9, 2012

✔ NPI 1366547515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP00179H

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3400 SPRUCE ST, Philadelphia, PA 19104

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS44908PA

Medicare ID-Type Unspecified002260PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

MONIQUE LORRAINE ROBERTS SALAHUB

Anesthesiology (Critical Care Medicine)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Clark's NPI number?

The NPI number for Michael Clark is 1366547515. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Michael Clark located?

Michael Clark practices at 3400 Spruce St Ground Silverstein, Philadelphia, PA 19104. The listed phone number is (215) 662-6963.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.