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

Timothy A Clark, PA-C

Individual provider Physician Assistant · NPI 1336851724

Timothy A Clark, PA-C is a Physician Assistant in Glenelg, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

15011 Double Bridges Ct
Glenelg, MD 21737-9618
Phone: (443) 534-6487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1336851724
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 17, 2022

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