Active NPI
Anthony Michael Clark, MD
- Vascular Surgery Physician
- Mechanicsburg, PA
National Provider Identifier
1033614250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD491347
- Practice address
- 2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411 - Phone
- (717) 731-0101
- Fax
- (717) 731-8359
- NPI assigned
- Mar 28, 2018
- Last updated
- Jul 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA11885300 | NJ | |
| Vascular Surgery Physician | 2086S0129X | MD491347 | PA | Primary |
Addresses
Primary practice location
2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Mailing address
2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101
Other practice location 1
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-9573
Other practice location 2
530 S Jackson St
Louisville, KY 40202-1675
Phone (954) 812-9602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of South Florida College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 Technology Pkwy
Suite 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11885300 | NJ | MD | Vascular Surgery Physician |
| MD491347 | PA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Cardiovascular Institute Inc | Vascular Surgery | Current | Accepting new patients |
| Upmc Pinnacle Hospitals | Past | Accepting new patients |
Locations
360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557
2020 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050
Interoperability endpoints
- aclark538578@upmc.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Wormleysburg, PA
- NPI 1952603342
Vascular Surgery
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carlisle, PA
- NPI 1689107328
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1033614250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 TECHNOLOGY PKWY STE 201",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509411",
"telephone_number": "717-731-0101",
"fax_number": "717-731-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 TECHNOLOGY PKWY STE 201",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509411",
"telephone_number": "717-731-0101",
"fax_number": "717-731-8359"
}
],
"practiceLocations": [
{
"address_1": "150 Bergen St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032496",
"country_code": "US",
"telephone_number": "973-972-9573",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 S Jackson St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021675",
"country_code": "US",
"telephone_number": "954-812-9602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA11885300",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD491347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.