MEDICARE: SHARON LYNN ROSS BAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	5469	OH

General Provider Information

NPI Number	:	1700738606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON LYNN ROSS BAKER

Provider Business Mailing Address
First Line	:	2720 WICKLOW RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-1336
Country	:	US
Telephone Number	:	216-288-3386
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 WICKLOW RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-1336
Country	:	US
Telephone Number	:	216-288-3386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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