Healthcare Provider Details

I. General information

NPI: 1427087204
Provider Name (Legal Business Name): TIMOTHY BRIAN MCGUINNESS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 07/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MONUMENT RD SUITE 206
YORK PA
17403-5074
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-6120
  • Fax: 717-851-6129
Mailing address:
  • Phone: 717-851-6120
  • Fax: 717-851-6129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG5357
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS006466E
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberG5357
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberOS006466E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: