MR. PATRICK TIMOTHY CLARK (NPI# 1972609436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972609436 |
| Entity Type | Individual |
| Full Name | MR. PATRICK TIMOTHY CLARK |
| Credential | P.A-C |
| Practice Address |
4020 Us Highway 27 N Sebring FL 33870-1333 |
| Practice Telephone | 8633140020 |
| Practice Fax Number | 8633810024 |
| Mailing Telephone | 8633140020 |
| Mailing Fax Number | 8633810024 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 2384 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048591 | Patrick Alan Clark | Optometrist | 202 N Mitchell St, Rio Grande City, TX 78582-2509 | 2020-06-22 |
| 1548668346 | Patrick Nikita Clark | Non-emergency Medical Transport (VAN) | 4281 Durango Ln, Memphis, TN 38109-4721 | 2014-12-09 |
| 1235313388 | Patrick Jeremiah Clark | Social Worker | 540 E First St, Waconia, MN 55387-1601 | 2007-12-26 |
| 1598751588 | Patrick A Clark | Family Medicine | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2005-09-23 |
| 1770018459 | Patrick Clark | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2017-05-01 |
| 1336508092 | Patrick J Clark | Dentist | 554 Kelly Street, Bumed, Attn: Credentialing & Privileging Directorate, Jacksonville, FL 32212 | 2016-02-23 |
| 1386941755 | Patrick Andrew Clark | Counselor | 9445 Farnham St, San Diego, CA 92123-1308 | 2011-02-22 |
| 1407036841 | Patrick W. Clark | Anesthesiology | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2007-11-13 |
| 1558301242 | Patrick Clark | Chiropractor | 1600 W 38th St, Suite 412, Austin, TX 78731-6407 | 2006-06-08 |
| 1285699553 | Patrick James Clark Jr. | Optometrist | 101 Bodin Cir, 60 Mdg/amds Optometry Clinic, Travis Afb, CA 94535-1809 | 2006-04-19 |
| Street Address |
4020 US HIGHWAY 27 N |
| City | SEBRING |
| State | FL |
| Zip Code | 33870-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720001209 | Marvin Dwight Maxwell | Family Medicine | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2006-07-25 |
| 1154778975 | Kenneth O'dell | Family Medicine | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2016-05-22 |
| 1164894317 | Sally Oliver | Nurse Practitioner | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2015-10-28 |
| 1417326471 | Elizabeth Sager | Nurse Practitioner | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2015-09-21 |
| 1083715288 | Richard W Huber | Nurse Practitioner | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1407401177 | Divine Family Solutions, LLC | Home Health | 227 Us Hwy North, 221, Sebring, FL 33870 | 2019-08-08 |
| 1881179836 | Two Hearts Companion Homemaker Serv. | In Home Supportive Care | 3320 New York Ave, Sebring, FL 33870 | 2018-09-26 |
| 1144719154 | Hearing Healthcare Solutions Inc | Hearing Aid Equipment | 4206 Sebring Parkway, Sebring, FL 33870 | 2018-05-04 |
| 1093266017 | Choices Counseling Services, LLC | Counselor | 32313 Broadway Street Suite #306, Sebring, FL 33870 | 2016-10-14 |
| 1962959940 | Abundance, Mental Health Counseling LLC | Counselor | 32313 Broadway St, Suite 310, Sebring, FL 33870 | 2016-09-07 |
| 1205221470 | Newsom Surgery Center of Sebring LLC | Clinic/Center | 4211 Us Hwy 27 N, Sebring, FL 33870 | 2015-04-03 |
| 1063805612 | Art of Caring Home Care Services | Home Health | 113 W Center Ave, Sebring, FL 33870 | 2015-03-06 |
| 1508254228 | Lodin Health Imaging Inc | Clinic/Center | 114 -115 Medical Center Ave, Sebring, FL 33870 | 2015-01-05 |
| 1790180594 | Conrad Walters | Pharmacist | 3619 Us Hwy 27 N, Sebring, FL 33870 | 2014-10-23 |
| Find all providers in zip 33870 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
| 1750374906 | Caruso Medical Center Inc | Physician Assistant | 3324 Commerce Center Ln, Sebring, FL 33870-5542 | 2005-08-23 |
| 1265810378 | Emily Anne Vincent | Physician Assistant | 3109 Medical Way, Sebring, FL 33870 | 2015-05-08 |
| 1427375013 | Highlands Emergency Group LLC | Physician Assistant | 3600 S Highlands Ave, Sebring, FL 33870-5416 | 2010-04-22 |
| 1174663090 | Steven G Wade | Physician Assistant | 4639 Sun N Lake Blvd, Sebring, FL 33872-2177 | 2007-02-08 |
| 1891848339 | Evan Richmond | Physician Assistant | 3600 S Highlands Ave, Hospitalist, Sebring, FL 33870-5416 | 2007-01-19 |
| 1902958739 | Nancy Cardona | Physician Assistant | 3581 S Highlands Ave, Sebring, FL 33870-5410 | 2007-01-18 |
| 1487764940 | James Bernard Scalzo | Physician Assistant | 3750 Emergency Ln, Suite 1, Sebring, FL 33870-5500 | 2006-08-30 |
| 1235128380 | Gordon Neal Williford | Physician Assistant | 4200 Sun N Lake Blvd, Emergency Department, Sebring, FL 33872-1986 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.