Provider Demographics
NPI:1740278027
Name:BAIER, ANDREA K (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:K
Last Name:BAIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 EASTERN SHORE DR
Mailing Address - Street 2:P.O. BOX 49
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-5513
Mailing Address - Country:US
Mailing Address - Phone:410-749-8906
Mailing Address - Fax:410-219-5662
Practice Address - Street 1:400 EASTERN SHORE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5513
Practice Address - Country:US
Practice Address - Phone:410-749-8906
Practice Address - Fax:410-219-5662
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00536125207R00000X
SD9717207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG78559Medicare UPIN