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

Individual provider Physician Assistant · NPI 1629027974

Timothy Clark, RPA-C is a Physician Assistant in Springfield, Ohio. Qualified in 2001, 25 years ago. Practices with Urgent Care Specialists, LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
25
Licensed in
OH
In the registry since
2006
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Practice location Address checks out

1200 Vester Ave
Springfield, OH 45503-1304
Phone: (937) 828-2051
Fax: (937) 828-2052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007543RX (OH)

Record details

NPI number1629027974
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedMay 6, 2006
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Urgent Care Specialists, Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield