Basic Information
Provider Information
NPI: 1083819759
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YURKA
FirstName: HEATHER
MiddleName: GAIL
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 HOSPITAL DRIVE
Address2: DEPT OF ANESTHESIOLOGY
City: GLEN BERNIE
State: MD
PostalCode: 210615803
CountryCode: US
TelephoneNumber: 4107874000
FaxNumber:  
Practice Location
Address1: 301 HOSPITAL DRIVE
Address2: DEPT OF ANESTHESIOLOGY
City: GLEN BERNIE
State: MD
PostalCode: 21061
CountryCode: US
TelephoneNumber: 4107874000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2007
LastUpdateDate: 04/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X2685WVN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X246913NYN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XOS12878FLN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XH0073448MDY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home