Daniel James Bauer (NPI# 1144222506, PAC ID# 1456421254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144222506 |
| PAC ID by PECOS | 1456421254 |
| Professional Enrollment ID | I20080605000583 |
| Full Name | Daniel James Bauer |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Address |
12855 N Forty Dr 280 Mercy Clinic Diabetes and Nutrition Center St Louis MO 63141-8657 |
| Phone Number | 6363901684 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214827922 |
| Number of Group Practice Members | 352 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12855 N Forty Dr, 280 Mercy Clinic Diabetes and Nutrition Center, St Louis, MO 63141-8657 | 6363901684 | MERCY CLINIC EAST COMMUNITIES |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Physicians | 383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Winchester | Family Medicine | Mercy Clinic East Communities | 2223 Technology Dr, Suite 35, O Fallon, MO 63368-7272 |
| Amy Marie Saak | Nurse Practitioner | Mercy Clinic East Communities | 802 Mel Carnahan Dr, Suite 215, Hillsboro, MO 63050-2427 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Graham Tyler Foster | Family Medicine | Mercy Clinic East Communities | 9338 Olive Blvd, Suite 100a, Saint Louis, MO 63132-3248 |
| Danielle Besand | Nurse Practitioner | Mercy Clinic East Communities | 521 Anwijo Way, Warrenton, MO 63383-1388 |
| Candace Parker Fleming | Physician Assistant | Mercy Clinic East Communities | 739 W Springfield Ave, Gerald, MO 63037-2135 |
| Andrea M Schuster | Family Medicine | Mercy Clinic East Communities | 301 Theresa St, Cuba, MO 65453-1636 |
| Patrice Burnett | Nurse Practitioner | Mercy Clinic East Communities | 1390 Us Hwy 61 N-1000, Mercy Clinic Family Medicine Jeffe, Festus, MO 63028-4136 |
| Angela Mehler | Nurse Practitioner | Mercy Clinic East Communities | 5194 Jeremiah Blvd, Hillsboro, MO 63050-5815 |
| Spencer Cotterell | Physical Medicine and Rehabilitation | Mercy Clinic East Communities | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 |
| Street Address |
12855 N FORTY DR 280 MERCY CLINIC DIABETES AND NUTRITION CENTER |
| City | ST LOUIS |
| State | MO |
| Zip | 63141-8657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryellen Frantz | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Lisa M Sherrer | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Angela M Fritschle | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Janet M Schaefer | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Michael A Huck | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Tracey L Jackson | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Kent L Adkins | Urology | American Multispecialty Group Inc | 12855 N Forty Dr, 230 Esse Health Urology Mid County, Saint Louis, MO 63141-8657 |
| Herbert Lubowitz | Internal Medicine | Mercy Clinic East Communities | 12855 N Forty Dr, 280 Mercy Clinic Diabetes and Nutrition Center, St Louis, MO 63141-8657 |
| Shehzad Qayum | Ophthalmology | Visionary Eyecare and Surgery, Inc. | 12855 N Forty Dr, Suite 260, St Louis, MO 63141-8657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | ST LOUIS |
| Zip Code | 63141 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ST LOUIS + INTERNAL MEDICINE |
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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.