Provider Demographics
NPI:1548290208
Name:TAUTKUS, BARBARA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:TAUTKUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4240
Mailing Address - Fax:717-848-5520
Practice Address - Street 1:2050 S QUEEN ST
Practice Address - Street 2:STE 100
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4829
Practice Address - Country:US
Practice Address - Phone:717-812-4240
Practice Address - Fax:717-848-5520
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039795L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001070171Medicaid
PA1142404OtherAMERIHEALTH MERCY-WMG QUE
PA233274OtherMAMSI-WMG
PA34822OtherGEISINGER
PA030064OtherJOHNS HOPKINS
PA4277171OtherAETNA
PAP002874OtherGATEWAY-WMG
PA479689OtherHIGHMARK BLUE SHIELD
PA01859902OtherCAPITAL BLUE CROSS-WMG
PA20010047OtherAMERIHEALTH MERCY-WMG CAR
PA81017OtherUNISON-WMG
PAP002874OtherGATEWAY-WMG
PA20010047OtherAMERIHEALTH MERCY-WMG CAR
PA479689OtherHIGHMARK BLUE SHIELD