MARTHA E TYMESON MD NPI 1730126814

NPI Information

  • NPI: 1730126814
  • Provider Name: MARTHA E TYMESON, MD
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 76 VETERANS AVE
    BEHAVIORAL HEALTH ROOM 511
    BATH, NY
    ZIP 14810
  • Phone: (607) 664-4300

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NPI Details

Martha E Tymeson, MD is an addiction medicine psychiatry neurology in Bath, NY. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Martha E Tymeson, MD NPI is 1730126814. 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:

76 VETERANS AVE
BEHAVIORAL HEALTH ROOM 511
BATH, NY
ZIP 14810-810
Phone: (607) 664-4300
Fax: (607) 664-4320

The NPI 1730126814 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 5/21/2012.

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
12084A0401XPsychiatry & NeurologyAddiction Medicine236941NEW YORKYes

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
1F63918MEDICARE UPIN
202709979MEDICAIDNEW YORK
3RA8363MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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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