Individual
DR. CARRIE ANN TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 HIGH ST, LOCK HAVEN, PA 17745-3018
(570) 748-1260
(570) 748-1261
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD420479
PA
207VX0000X
Obstetrics Physician
MD420479
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019516580003
—
PA
05
—
0019516580004
—
PA
01
—
002990
FIRST PRIORITY HEALTH
PA
01
—
1491762
HIGHMARK BLUE SHIELD
PA
01
—
2517559
UNITEDHEALTHCARE
PA
01
—
68257
GEISINGER HEALTH PLAN
PA
01
—
7306468
AETNA
PA
01
—
816893
FIRST PRIORITY HEALTH
PA
01
—
H80791
HEALTHAMERICA
PA
Enumeration date
03/10/2006
Last updated
10/21/2011
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