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Active NPI 1366547515 Individual Practitioner Male Practitioner

Michael Thomas Clark , CRNP

Nurse Practitioner • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Michael Clark, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Philadelphia, PA. Practice services are available at 3400 SPRUCE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3400 Spruce St
Ground Silverstein

Philadelphia, PA 191044206

Telephone 2156626963
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
513 Specialists

Practicing in Philadelphia, PA (3955 Statewide)

Telehealth Adoption Rate
15.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP00179H

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Vishnu Nancoo , CRNP

Nurse Practitioner - Adult Health

NPI 1043416324

Certified Registered Nurse Practitioner

Dr. Jeffrey Kramer , MD

Emergency Medicine

NPI 1073559282

Doctor of Medicine (M.D.)

Dr. Kusuma Reddy , MD

Emergency Medicine

NPI 1093759904

Doctor of Medicine (M.D.)

Rosemary Mcmenamin , CRNP

Nurse Practitioner - Adult Health

NPI 1104800085

Certified Registered Nurse Practitioner

Dr. Stephen Thom , MD

Emergency Medicine

NPI 1154360667

Doctor of Medicine (M.D.)

Dr. Marilyn Howarth , MD

Internal Medicine

NPI 1225064819

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2012

Registered at 3400 SPRUCE ST, GROUND SILVERSTEIN, PHILADELPHIA, PA 191044206 (Tel: 2156626963)

📍
Updated Business Mailing Address May 09, 2012

Registered at 3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 191042614 (Tel: 2156622286)

👤
Provider Name / Credentials Updated May 09, 2012

Recorded as MICHAEL CLARK, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2012

Nurse Practitioner (License #SP00179H in PA)

🟢
Initial NPI Registration & Enumeration September 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366547515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2006
Last Update: May 09, 2012
Sole Proprietor: No

Mailing Address

3624 Market St, Suite 560w

Philadelphia, PA 191042614

Phone: 2156622286

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.