Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susannah J. Clark, PA-C

Individual provider Physician Assistant · NPI 1770805202

Susannah J. Clark, PA-C is a Physician Assistant in Lowell, Massachusetts. Qualified in 2009, 17 years ago. Practices with Beth Israel Lahey Health Specialty Care, Inc, a 263-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
17
Licensed in
MA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

275 Varnum Ave Ste 203
Lowell, MA 01854-2109
Phone: (978) 458-4300
Fax: (978) 458-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 235 N Pearl St, Brockton, MA 02301-1794 — (508) 427-3180

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3930 (MA)

Record details

NPI number1770805202
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2010
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address275 Varnum Ave Ste 203, Lowell, MA 01854-2109

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Beth Israel Lahey Health Specialty Care, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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