DR. KRYSTAL TILL BAKER (NPI# 1255650362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255650362 |
| Entity Type | Individual |
| Full Name | DR. KRYSTAL TILL BAKER |
| Other Name | KRYSTAL ANN TILL |
| Credential | M.D. |
| Practice Address |
1647 Woodbrooke Dr Salisbury MD 21804-8502 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4105462424 |
| Practice Fax Number | 4107426633 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0083941 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013417930 | Krystal Baker | Licensed Practical Nurse | 2301 W Thomas Rd, Phoenix, AZ 85015-5904 | 2018-02-16 |
| 1609241116 | Krystal Baker | Counselor | 2711 W 15th Street, Panama City, FL 32401 | 2015-12-09 |
| 1205141249 | Krystal Weissert Baker | Optometrist | 223 4th Ave Ste 100, Pittsburgh, PA 15222-1713 | 2010-08-14 |
| 1568621308 | Krystal Lynn Baker | Counselor | 7 Clayton Ave, Cortland, NY 13045-2501 | 2008-06-06 |
| Street Address |
1647 WOODBROOKE DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090630 | Michael Edward Lantz | Obstetrics & Gynecology | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2005-08-11 |
| 1093364804 | Juhi J Khamar | Advanced Practice Midwife | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2019-09-05 |
| 1205495199 | Elizabeth Rose Watson-ormond | Advanced Practice Midwife | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2019-06-13 |
| 1548723877 | Karri Lynn Washbon | Advanced Practice Midwife | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2019-04-12 |
| 1972062891 | Shannon Nicole Biesterfeld | Advanced Practice Midwife | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2019-03-19 |
| 1093239295 | Gabrielle Elizabeth Gill | Advanced Practice Midwife | 1647 Woodbrooke Dr, Salisbury, MD 21804 | 2017-07-28 |
| 1710418520 | Sarah Alinn Krieg | Advanced Practice Midwife | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2017-03-23 |
| 1164897096 | Melba Jean Miller | Social Worker | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2015-12-03 |
| 1174881072 | Caitlin Lindsley Robinson | Obstetrics & Gynecology | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2012-04-27 |
| 1275805459 | Lisa Ann Butterworth | Advanced Practice Midwife | 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194046375 | Olubusola Ogunlade | Obstetrics & Gynecology | 659 S Salisbury Blvd Ste 4, Salisbury, MD 21801 | 2010-06-22 |
| 1407039084 | Peninsula Obstetrics Gynecology | Obstetrics & Gynecology | 1205 Pemberton Dr Ste 104, Salisbury, MD 21801-2483 | 2007-12-06 |
| 1477734630 | John M. Woods, M.d., P.a. | Obstetrics & Gynecology | 1201 Pemberton Dr., Ste. 2a, Salisbury, MD 21801-2501 | 2007-11-16 |
| 1083727697 | Constantine G Lambrou | Obstetrics & Gynecology | 204 Newton Street, Salisbury, MD 21801 | 2006-08-16 |
| 1679551980 | Gayle Jennette Singleton Yatawara | Obstetrics & Gynecology | 415 Statesville Blvd, Salisbury, NC 28144-2317 | 2006-01-06 |
| 1689652992 | Jessica Ellen Blumenthal | Obstetrics & Gynecology | 911 West Henderson Street, Suite 300, Salisbury, NC 28144-2700 | 2006-01-06 |
| 1861479107 | Bahnson David Hall | Obstetrics & Gynecology | 611 Mocksville Ave., Salisbury, NC 28144-2705 | 2005-12-28 |
| 1831189257 | Michael Kenneth Mills | Obstetrics & Gynecology | 135 Mocksville Ave, Salisbury, NC 28144-3323 | 2005-10-26 |
| 1114914942 | Joseph Jackson Welch IIi | Obstetrics & Gynecology | 106 Pine Bluff Rd, Suite 13, Salisbury, MD 21801-7161 | 2005-10-06 |
| 1356345235 | Elizabeth Pernal | Obstetrics & Gynecology | 813a Eastern Shore Dr, Salisbury, MD 21804-5943 | 2005-06-09 |
| Find all providers in SALISBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.