Timothy D Barry, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Walla Walla, WA
NPI 1093789778 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1093789778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD00018194 (WA)
- Practice address
- 320 Willow
Walla Walla, WA 99362 - Phone
- (509) 525-5010
- Fax
- (509) 522-9448
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00018194 | WA | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00018194 | WA | Yes |
Addresses
Primary practice location
320 Willow
Walla Walla, WA 99362
Mailing address
55 W Tietan St
Walla Walla, WA 99362-4445
Phone (509) 525-3720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8489106 | Medicaid | WA | |
| 066894 | Medicaid | OR | |
| 30248 | Other | WA | L&I |
Other providers in Walla Walla, WA
- Emily Baron
- Jeanette Barrera
- Ydien Barrios
- James Markam Barrow
- Karin Barrow
- Katie Bartlow
- Basic Dental Care of Walla Walla
- Suzanne Baslee
- Donald Charles Bassham
- Allison Bauer
All providers in Walla Walla, WA · Obstetrics & Gynecology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.