Individual provider Active NPI

Mollie Baker-Salisbury, MD

  • Family Medicine Physician
  • Springfield, PA
National Provider Identifier
1386204196
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT218258 Issued in PA
Practice address
1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956
Phone
(610) 690-4490
NPI assigned
Jun 14, 2019
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT218258 PA Primary

Addresses

Primary practice location

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956

Mailing address

1420 Locust St Apt 11R
Philadelphia, PA 19102-4208
Phone (215) 805-1487

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mollie.baker-salisbury@crozer.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT218258PAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1386204196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LOCUST ST APT 11R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024208",
            "telephone_number": "215-805-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643956",
            "telephone_number": "610-690-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-SALISBURY",
        "first_name": "MOLLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT218258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mollie.baker-salisbury@crozer.org",
            "affiliation": "N",
            "address_1": "1260 E Woodland Ave Ste 200",
            "city": "Springfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190643956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.