Sharon Lavarne Baucom, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0059256 Issued in MD

Practice address

6776 Reisterstown Rd Ste 315
Baltimore, MD 21215-2320

Phone

(410) 585-3380

Fax

(410) 764-4160

NPI assigned

Oct 23, 2009

Last updated

Oct 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1922334044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 WINDSOR MILL RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441117",
            "telephone_number": "410-521-6901",
            "fax_number": "410-764-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 REISTERSTOWN RD STE 315",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152320",
            "telephone_number": "410-585-3380",
            "fax_number": "410-764-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCOM",
        "first_name": "SHARON",
        "middle_name": "LAVARNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0059256",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101058726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria J Battler, PHARMD
• Charlene Denise Batts Thomas, LMSW
• Carla Batty, MSW
• Suchita Batwara, M.D., M.P.H.
• Baruch Mark Batzofin
• Amanda Bauer, D.O.
• Caroline Bauer, CPNP
• Charlotte Ann Bauer, P.T.
• Christopher Charles Bauer
• Grace Amelia Bauer

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.