Jialin Bao (NPI# 1124159843, PAC ID# 0648378539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1124159843 |
| PAC ID by PECOS | 0648378539 |
| Professional Enrollment ID | I20070530000439 |
| Full Name | Jialin Bao |
| Organization Legal Name | ST. JOSEPH VALLEY ANESTHESIA P.C. |
| Address |
5215 Holy Cross Pkwy Mishawaka IN 46545-1469 |
| Phone Number | 5743355000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1992 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 9234106659 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 5743355000 | ST. JOSEPH VALLEY ANESTHESIA P.C. |
| Organization Legal Name | ST. JOSEPH VALLEY ANESTHESIA P.C. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody S Yerger | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Adam D Zamzow | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Kimberly S Van Elk | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Mayur A Patel | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Theresa R Cruthird | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Kenneth Allen Jongsma | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Michael J Lalich | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Matthew A Jachim | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Daniel Rudzinski | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Robert L Tokars | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Street Address |
5215 HOLY CROSS PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-1469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Augustine Nnadi | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Cody S Yerger | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Ahmad Khatri | Family Medicine | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Sharmaine Habib | Internal Medicine | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Eric M Goddard | Physician Assistant | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Hendy B Jean | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Brittany M Heiser | Physician Assistant | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Christopher C Brodkin | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Khawaja Owais Omar | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Naomi C Lightburn | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MISHAWAKA + ANESTHESIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.