Doctor profile · Federal record
Dr. Mark Clark, PA
Physician Assistant · Johnson City, TN
- NPI 1861505026
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
101 MED Tech Pkwy, Suite 305
Johnson City, TN 376044007
(423) 926-6266
fax (423) 926-7599 - Mailing address
-
Po Box 5576
Johnson City, TN 376025576
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Tennessee #PA942
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861505026. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$39
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $39.12 |
By nature of payment
Frequently asked questions
What is Dr. Mark Clark's medical specialty?
Dr. Mark Clark practices Physician Assistant in Johnson City, TN.
Where does Dr. Mark Clark practice?
Dr. Mark Clark practices at 101 MED Tech Pkwy, Johnson City, TN 376044007. Office phone: 4239266266.
What is Dr. Mark Clark's NPI?
Dr. Mark Clark's National Provider Identifier (NPI) is 1861505026, issued by NPPES.