Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD420479 | PA |
N | 207VX0000X | Obstetrician | MD420479 | PA |
NPI | 1447228978 |
---|---|
Provider Name | Dr. Carrie Ann Timko |
First Address | Williamsport, PA 17701-1900 |
Second Address | Lock Haven, PA 17745-3018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 21/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019516580003 | (05) | PA |
0019516580004 | (05) | PA |
002990 | FIRST PRIORITY HEALTH (01) | PA |
1491762 | HIGHMARK BLUE SHIELD (01) | PA |
2517559 | UNITEDHEALTHCARE (01) | PA |
68257 | GEISINGER HEALTH PLAN (01) | PA |
7306468 | AETNA (01) | PA |
816893 | FIRST PRIORITY HEALTH (01) | PA |
H80791 | (02) | |
H80791 | HEALTHAMERICA (01) | PA |