DR. JOANNA BLAKE TYZACK (NPI# 1487659892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487659892 |
Entity Type | Individual |
Full Name | DR. JOANNA BLAKE TYZACK |
Credential | M.D. |
Practice Address |
6535 N Charles St Ste 400 Baltimore MD 21204-5826 |
Practice Telephone | 4108287417 |
Practice Fax Number | 4108280257 |
Mailing Telephone | 4108287417 |
Mailing Fax Number | 4108280257 |
Enumeration Date | 2005-06-14 |
Last Update Date | 2017-09-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
D42383 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 203561600 | 05 |
Street Address |
6535 N CHARLES ST STE 400 |
City | BALTIMORE |
State | MD |
Zip Code | 21204-5826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821533019 | Rebecca Joy Hart | Dietitian, Registered | 6535 N Charles St, Suite 300, Baltimore, MD 21204-5826 | 2016-12-27 |
1457718066 | Geoffrey Michael Hunt | Social Worker | 6535 N Charles St, Suite 300, Baltimore, MD 21204-5826 | 2016-01-27 |
1821468182 | Ashley M. Masten | Social Worker | 6535 N Charles St, Pavilion North, Suite 100, Baltimore, MD 21204-5826 | 2015-09-30 |
1114348943 | Jill Frey Pieri | Social Worker | 6535 N Charles St, Suite 300, Baltimore, MD 21204-5826 | 2013-12-20 |
1568892263 | Steven J. Rottman, Md LLC | Plastic Surgery | 6535 N Charles St, Suite 510, Baltimore, MD 21204-5826 | 2013-11-15 |
1528406709 | Chesapeake Urology Associates, Pa | Non-Pharmacy Dispensing Site | 6535 N Charles St, Suite 625, Baltimore, MD 21204-5826 | 2013-06-10 |
1841636958 | Sabrina M Dotsenko | Dietitian, Registered | 6535 N Charles St, Suite 300, Baltimore, MD 21204-5826 | 2013-05-15 |
1992059554 | Sara S Booker | Dietitian, Registered | 6535 N Charles St, Suite 300, Baltimore, MD 21204-5826 | 2012-11-05 |
1912256074 | Laura E Sproch | Psychologist | 6535 N Charles St, Suite 300, Baltimore, MD 21204-5826 | 2012-09-05 |
1871859926 | Hyoen Joo Lee | Nurse Practitioner | 6535 N Charles St, Suite 400, Baltimore, MD 21204-5826 | 2012-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
Find all providers in zip 21204 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558825307 | Ideal Endocrinology LLC | Internal Medicine | 3000 Chestnut Ave Ste 202, Baltimore, MD 21211-2794 | 2019-01-25 |
1104300334 | Johns Hopkins University | Internal Medicine | 1700 N Caroline St, Baltimore, MD 21213-2204 | 2018-09-24 |
1366732281 | Alfonso Hubert Janoski | Internal Medicine | 2412 W Rogers Ave, Baltimore, MD 21209-4322 | 2011-04-12 |
1235363128 | Malek Cheikh | Internal Medicine | 200 E 33rd St Ste 551, Baltimore, MD 21218-3322 | 2009-05-07 |
1427292010 | Han Na Kim | Internal Medicine | 5501 Hopkins Bayview Cir Ste 2a.62, Baltimore, MD 21224-6821 | 2009-04-27 |
1700084167 | Supneet Kaur Saluja | Internal Medicine | 250 N. Calvert Street, Lower Level, Baltimore, MD 21202 | 2007-07-06 |
1386859585 | Ari Shye Eckman | Internal Medicine | 1830 Eaast Monument Ave, Suite 333, Baltimore, MD 21287-0001 | 2007-05-11 |
1588732077 | Stephen R Smith | Internal Medicine | 8709 Harford Road, Baltimore, MD 21234 | 2006-12-01 |
1609951516 | Asha Thomas | Internal Medicine | 2435 West Belvedere Avenue, Sinai Hospital of Baltimore, Baltimore, MD 21215-5271 | 2006-10-26 |
1588744171 | Duangmarl P Malayaman | Internal Medicine | 4001 Wilkens Ave, Baltimore, MD 21229 | 2006-10-17 |
Find all providers in BALTIMORE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.