Provider Demographics
NPI:1306890082
Name:TYMKIW, BARBARA (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:TYMKIW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 TIMBER TREE PL
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032-1532
Mailing Address - Country:US
Mailing Address - Phone:410-573-9450
Mailing Address - Fax:410-573-9439
Practice Address - Street 1:2003 MEDICAL PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7992
Practice Address - Country:US
Practice Address - Phone:410-573-9450
Practice Address - Fax:410-573-9439
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0038148207V00000X
MDDOO38148207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD546991100Medicaid
MD546991100Medicaid