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MARK E CLARK PA
NPI 1861505026
Physician Assistant in Johnson City, TN

Active since August 15, 2006
101 MED TECH PKWY, SUITE 305, JOHNSON CITY, TN 37604(423) 926-6266(423) 926-7599 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark E Clark Pa NPPES

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

MARK E CLARK PA (NPI 1861505026) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (PA942) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1861505026
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK E CLARKCredential: PA
Location Address101 MED TECH PKWY, SUITE 305Johnson City, TN 37604-4007
Mailing AddressPo Box 5576Johnson City, TN 37602-5576 · (423) 926-6266 · Fax (423) 926-7599
Phone(423) 926-6266
Fax(423) 926-7599
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861505026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · PA942
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 MED TECH PKWY, Johnson City, TN 37604
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Other Identifiers 1

Medicare UPINP48678

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.

JOSE VILLANUEVA PT
Physical Medicine & Rehabilitation
101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Washington County (423) 232-6120
MOUNTAIN STATES HEALTH ALLIANCE
Home Infusion
101 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 37604
Washington County (423) 431-4601
JOSEPH C NANNEY PA
Physician Assistant
101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604
Washington County (423) 926-6266
HOLLY RENEE BROADWATER FNP
Nurse Practitioner (Family)
101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Washington County (423) 232-6120
DR. SHANE M ADAMS MD
Family Medicine
101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604
Washington County (423) 926-6266
DR. FERNANDO BENDFELDT M.D.
Psychiatry & Neurology (Psychiatry)
101 MED TECH PKWY, STE 407
JOHNSON CITY, TN 37604
Washington County (423) 283-8801
SAMEH WARD M.D.
Pain Medicine (Interventional Pain Medicine)
101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Washington County (423) 232-6120
PREMIER PEDIATRICS, LLC
Pediatrics
101 MED TECH PKWY, SUITE 405
JOHNSON CITY, TN 37604
Washington County (423) 929-2454

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 Mark Clark's NPI number?

The NPI number for Mark Clark is 1861505026. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Mark Clark located?

Mark Clark practices at 101 Med Tech Pkwy Suite 305, Johnson City, TN 37604. The listed phone number is (423) 926-6266.

What is Mark Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mark Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.