DR. JILL M. BAER (NPI# 1518030097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518030097 |
| Entity Type | Individual |
| Full Name | DR. JILL M. BAER |
| Credential | M.D. |
| Practice Address |
3009 N Ballas Rd Suite 257-c Saint Louis MO 63131-2322 |
| Mailing Address |
605 Mulberry Grove Ct Manchester MO 63021-7081 |
| Practice Telephone | 3145692112 |
| Practice Fax Number | 3145691270 |
| Mailing Telephone | 6365279111 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
R7564 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3009 N BALLAS RD SUITE 257-C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214505 | Lee S Portnoff | Dermatology | 3009 N Ballas Rd, Ste 310a, Saint Louis, MO 63131-2353 | 2005-06-11 |
| 1255878054 | John William Molitor Jr. | Nurse Practitioner | 3009 N Ballas Rd, Suite 323a, Saint Louis, MO 63131-2322 | 2017-01-31 |
| 1669922068 | Melanie Huff | Registered Nurse | 3009 N Ballas Rd, Ste 207b, Saint Louis, MO 63131-2322 | 2016-10-10 |
| 1518410810 | Alison Olivo | Audiologist | 3009 N Ballas Rd, Ste 380c, Saint Louis, MO 63131-2322 | 2016-08-03 |
| 1225483274 | Stacey Smith | Social Worker | 3009 N Ballas Rd, Building A, Suite 228, Saint Louis, MO 63131-2322 | 2016-04-27 |
| 1386005874 | Megan K Sipes | Nurse Practitioner | 3009 N Ballas Rd, Ste 264c, Saint Louis, MO 63131-2322 | 2016-03-11 |
| 1962867457 | Joseph Ryan Walsh | Physician Assistant | 3009 N Ballas Rd, Suite 304a, Saint Louis, MO 63131-2322 | 2015-12-28 |
| 1114321916 | Erin Desmarais | Audiologist | 3009 N Ballas Rd, Ste 351c, Saint Louis, MO 63131-2322 | 2014-10-22 |
| 1386048023 | Shannon L Tucker | Registered Nurse | 3009 N Ballas Rd, Ste 264c, Saint Louis, MO 63131-2322 | 2014-10-09 |
| 1700287059 | Julia Rudy | Nurse Anesthetist, Certified Registered | 3009 N Ballas Rd, Suite 371, Saint Louis, MO 63131-2322 | 2014-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114048154 | Affton Medical Clinic | Pediatrics | 59 Grasso Plz, Saint Louis, MO 63123-3107 | 2007-04-03 |
| 1932328796 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-24 |
| 1760556708 | Ariane E May | Pediatrics | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2006-11-20 |
| 1801999768 | Joyce D Johnson | Pediatrics | 6744 Clayton Rd, Saint Louis, MO 63117-1637 | 2006-09-06 |
| 1730295759 | Joseph Prusaczyk | Pediatrics | 13035 Olive Blvd, Saint Louis, MO 63141-6173 | 2006-08-22 |
| 1649292780 | Sarah Ann Tycast | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2006-07-25 |
| 1528081544 | Lynn K White | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2006-07-25 |
| 1023036746 | Maryjo Hernandez-zipfel | Pediatrics | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2006-07-18 |
| 1750310439 | Amal F Antoun | Pediatrics | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366670796 | Fernando Fernandez, M. D. PC | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2009-06-24 |
| 1073733069 | Kelly Jo Meier | Pediatrics | 2719 E 32nd St, Joplin, MO 64804-3131 | 2007-05-01 |
| 1851417794 | Shari L Smith | Pediatrics | 200 Castle Drive, Joplin, MO 64804-9115 | 2007-03-22 |
| 1811076763 | Nedra Diann Twillie | Pediatrics | 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 | 2006-11-03 |
| 1740209162 | Nancy Elizabeth Holmes | Pediatrics | 8888 Ladue Road, Suite 130, St. Louis, MO 63124 | 2006-07-18 |
| 1194770883 | Ann A Gassman | Pediatrics | 503 N Scott Ave, Belton, MO 64012-1730 | 2006-05-23 |
| 1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
| 1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
| 1679570618 | Carolyn Ann Ellsworth | Pediatrics | 312 N Kentucky St, West Plains, MO 65775-2073 | 2005-07-06 |
| 1528064102 | Joseph William Stafford Jr. | Pediatrics | 312 N Kentucky Ave, West Plains, MO 65775-2073 | 2005-06-28 |
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| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.