Provider Demographics
NPI:1083819759
Name:YURKA, HEATHER GAIL (DO)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:GAIL
Last Name:YURKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HOSPITAL DRIVE
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY
Mailing Address - City:GLEN BERNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5803
Mailing Address - Country:US
Mailing Address - Phone:410-787-4000
Mailing Address - Fax:
Practice Address - Street 1:301 HOSPITAL DRIVE
Practice Address - Street 2:DEPT OF ANESTHESIOLOGY
Practice Address - City:GLEN BERNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-787-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2685207L00000X
NY246913207L00000X
FLOS12878207L00000X
MDH0073448207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD240192Medicare PIN
DC240203Medicare PIN