Christina M Clark, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA052125 Issued in PA

Practice address

734 N Franklin St
Lancaster, PA 17602-2176

Phone

(717) 295-2323

Fax

(717) 295-7294

NPI assigned

Jun 13, 2006

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Christina M McAuley Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1346283868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "MCAULEY",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Sue Cirrincione
• Kimberly N Cisneros, LAT, ATC
• Gloria Jean Cissne, CRNP
• Bruce Alexander Citsay, RPH
• Kimberly Beth Civitarese
• Harry Albert Clark Jr., DDS.
• Jeffrey Thomas Clark, DPT
• Megan L Clark, SLP
• Meredith Nancy Clark, PHARMD
• Neil Ross Clark, M.D.

• Physician Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.