DR. JOANNA BLAKE TYZACK


Address: 6535 N Charles St, Ste 400, Baltimore, MD 21204-5826
Phone: 4108287417

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
D42383 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 203561600 05

Office Location

Street Address 6535 N CHARLES ST
STE 400
City BALTIMORE
State MD
Zip Code 21204-5826

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BALTIMORE
Zip Code 21204

Improve Information

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Dataset Information

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.

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