Organization Active NPI

Lynn M. Yurkofsky DPM, PA

  • Podiatric Clinic/Center
  • Jarrettsville, MD
National Provider Identifier
1629266176
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
01275 Issued in MD
Legal business name
LYNN M. YURKOFSKY DPM, PA
Practice address
1113 Baldwin Mill Rd
Jarrettsville, MD 21084-1929
Phone
(410) 692-5591
Fax
(410) 692-5518
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Dr. Lynn Marie Yurkofsky, DPMNPI 1588608392
Title
Podiatrist
Phone
(410) 692-5591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 01275 MD Primary

Addresses

Primary practice location

1113 Baldwin Mill Rd
Jarrettsville, MD 21084-1929

Mailing address

2004 Wagner Farm Rd
Bel Air, MD 21015-2048
Phone (410) 692-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071227000194 MD Part B Supplier - Clinic/Group Practice 7012007305 Receives reassigned benefits from 1 practitioner
Practice locations: Jarrettsville, MD; White Marsh, MD
O20100930022914 MD DME Supplier - Physician - Podiatry 7012007305 Practice locations: White Marsh, MD

National Provider Directory

National Provider Directory

Locations

1206 York Rd
Ste L2
Lutherville Timonium, MD 21093
Phone (410) 583-9980

5430 Campbell Blvd
Ste 215
White Marsh, MD 21162
Phone (410) 692-5591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1629266176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 WAGNER FARM RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210152048",
            "telephone_number": "410-692-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 BALDWIN MILL RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841929",
            "telephone_number": "410-692-5591",
            "fax_number": "410-692-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M. YURKOFSKY DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "YURKOFSKY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "410-692-5591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "01275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarrettsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.