Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clarence Andrew Cole, PAC

Individual provider Medical Physician Assistant · NPI 1538300538

Clarence Andrew Cole, PAC is a Physician Assistant in Baltimore, Maryland. Qualified in 2008, 18 years ago. Practices with Mnr Industries, LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
18
Licensed in
MD
In the registry since
2009
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

5601 Loch Raven Blvd
Baltimore, MD 21239-2905
Phone: (443) 444-3741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0003968 (MD)

Record details

NPI number1538300538
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 20, 2009
Last updated in NPPESMarch 20, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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