MARY TJARKS M.D. NPI 1255369641

NPI Information

  • NPI: 1255369641
  • Provider Name: MARY TJARKS, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 JOHN DEERE ROAD, SUITE 200
    MOLINE, IL
    ZIP 61265
  • Phone: (309) 779-4230

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NPI Details

Mary Tjarks, M.D. is an obstetrics gynecology in Moline, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Mary Tjarks, M.D. NPI is 1255369641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 JOHN DEERE ROAD, SUITE 200
MOLINE, IL
ZIP 61265-897
Phone: (309) 779-4230

The NPI 1255369641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 1/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology5086SOUTH DAKOTANo
2207V00000XObstetrics & Gynecology36102741ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H17585MEDICARE UPINSOUTH DAKOTA
2100783MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTA
3036102741MEDICAIDILLINOIS
42533752MEDICAIDIOWA
56200972MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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