Individual provider Active NPI

Barbara Tymkiw, M.D.

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
National Provider Identifier
1306890082
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0038148 Issued in MD
Practice address
2003 Medical Pkwy
Suite 310
Annapolis, MD 21401-7992
Phone
(410) 573-9450
Fax
(410) 573-9439
NPI assigned
May 19, 2006
Last updated
May 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0038148 MD Primary
Obstetrics Physician 207VX0000X DOO38148 MD

Addresses

Primary practice location

2003 Medical Pkwy
Suite 310
Annapolis, MD 21401-7992

Mailing address

712 Timber Tree PL
Suite 310
Crownsville, MD 21032-1532
Phone (410) 573-9450

Other identifiers 1

IdentifierTypeStateIssuer
546991100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609001551 MD Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 3779769005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0038148MDMDObstetrics & Gynecology Physician
DOO38148MDMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1306890082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 TIMBER TREE PL",
            "address_2": "SUITE 310",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321532",
            "telephone_number": "410-573-9450",
            "fax_number": "410-573-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY",
            "address_2": "SUITE 310",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017992",
            "telephone_number": "410-573-9450",
            "fax_number": "410-573-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMKIW",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0038148",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MD",
            "license": "DOO38148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546991100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.