THOMAS CLARK PA
NPI 1932142056
Physician Assistant - Medical in Baltimore, MD

Active since June 14, 2006
4924 CAMPBELL BLVD, BALTIMORE, MD 21236(443) 442-2300 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Thomas Clark Pa NPPES

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

THOMAS CLARK PA (NPI 1932142056) is an individual medical provider in Baltimore, Maryland, licensed in Maryland (C0000159) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1932142056
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHOMAS CLARKCredential: PA
Location Address4924 CAMPBELL BLVDBaltimore, MD 21236-5908
Mailing Address3100 Wyman Park DrBaltimore, MD 21211-2803
Sole ProprietorYes
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 9, 2013
✔ NPI 1932142056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0000159
4924 CAMPBELL BLVD, Baltimore, MD 21236

Other Identifiers 5

Medicare UPINS76621MD
Other970011935MD · Railroad Medicare
Medicare PINR164MD
Medicare ID-Type UnspecifiedKS17947XMD
Medicare PIN489PR164MD

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.

Physician Assistant
4924 CAMPBELL BLVD, SUITE 200
NOTTINGHAM, MD 21236
Internal Medicine
4924 CAMPBELL BLVD, SUITE 200
BALTIMORE, MD 21236
Physician Assistant (Medical)
4924 CAMPBELL BLVD
WHITE MARSH, MD 21236
Nurse Practitioner (Acute Care)
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pharmacy (Community/Retail Pharmacy)
4924 CAMPBELL BLVD, STE 120
NOTTINGHAM, MD 21236
Internal Medicine
4924 CAMPBELL BLVD
BALTIMORE, MD 21236
Internal Medicine (Cardiovascular Disease)
4924 CAMPBELL BLVD, STE 110
BALTIMORE, MD 21236
Physical Therapist
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236

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 Thomas Clark's NPI number?

The NPI number for Thomas Clark is 1932142056. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Thomas Clark located?

Thomas Clark practices at 4924 Campbell Blvd, Baltimore, MD 21236. The listed phone number is (443) 442-2300.

What is Thomas Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Thomas Clark was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.