Kathryn Baker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0005515 Issued in MD

Practice address

2000 Medical Pkwy Ste 200
Annapolis, MD 21401

Phone

(443) 481-3493

Fax

(443) 481-6705

NPI assigned

Oct 1, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel Hexter MD PA

  • Neurology Physician
  • Annapolis, MD
  • NPI 1861686420

  MD

  Medicare reassignment NPD
• Tidalhealth Peninsula Regional, Inc.

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1184832040

  MD, Physician Assistant

  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
  • NPI 1073580205

  MD

  Medicare reassignment
• Luminis Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
  • NPI 1356862528
  NPD
• Luminis Health Medical Group, LLC

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1720835010
  NPD
• Tidalhealth Peninsula Regional, Inc.

  • Community/Retail Pharmacy
  • Salisbury, MD
  • NPI 1871031559
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1083017305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "443-481-3493",
            "fax_number": "443-481-6705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 SNOW HILL RD",
            "address_purpose": "LOCATION",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046031",
            "country_code": "US",
            "telephone_number": "410-860-0084",
            "fax_number": "410-677-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101386600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Bahr, LCPC
• Kari H Bailey, M.D.
• Tammy Bailey, LCSW-C
• Nnemdi Amanda Baird-Cross, D.O.
• Anil Ashok Bajnath, M.D.
• Kristen M Baker
• Sharon K. Baker, DMD
• Balanced Healing Acupuncture and Wellness, LLC
• Jennifer Kyritsis Balducci, MSPT
• Joy'El B Ballard, M.D.

• All providers in Annapolis, MD
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.