Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Y. Maryanov, MD

Individual provider Neurological Surgery Physician · NPI 1629298500

Timothy Y. Maryanov, MD is a Neurosurgery in Fort Smith, Arkansas. Graduated from University of California, San Diego School of Medicine in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Arkansas and South Carolina.

Years since qualifying
22
Trained at
University of California, San Diego School of Medicine
Licensed in
AR, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9616 Rogers Ave
Fort Smith, AR 72903-5769
Phone: (479) 242-3310
Fax: (479) 439-8868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence E7752 (AR)
Neurological Surgery Physician Taxonomy 207T00000X · Licence LL33444 (SC)

Record details

NPI number1629298500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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