Jenny Quan Bao (NPI# 1275947095, PAC ID# 1456655604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1275947095 |
| PAC ID by PECOS | 1456655604 |
| Professional Enrollment ID | I20170512001159 |
| Full Name | Jenny Quan Bao |
| Organization Legal Name | CLAYTON EMERGENCY GROUP LLC |
| Address |
6420 Clayton Rd Richmond Heights MO 63117-1811 |
| Phone Number | 3147688000 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3971667379 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 4500 Memorial Dr, Memorial Hospital, Belleville, IL 62226-5399 | 6182337750 | CEPAMERICA ILLINOIS LLP |
| 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 3147688000 | CLAYTON EMERGENCY GROUP LLC |
| Organization Legal Name | CLAYTON EMERGENCY GROUP LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saad Alkaade | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Jennifer L Rosener | Nurse Practitioner | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Neal Mohen Mangalat | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Julie Saleeby | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Joseph M Schuster | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Phan Thuc Hang | Nurse Practitioner | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Clinton R Holaday | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Bary Michael Klevene | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Benjamin Kober | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Brian James Heberer | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Street Address |
6420 CLAYTON RD |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip | 63117-1811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Scott Emerson | Internal Medicine | Sound Physicians of Illinois LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Larissa Anokhin | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Kehinde F Hambolu | Hospitalist | Hospitalist Medicine Physicians of Missouri - Richmond Heights Inc | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Donna Lynn Mcghee | Nurse Practitioner | Ssm Medical Group Inc | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Saad Alkaade | Emergency Medicine | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Rajeshwar Peddi | Internal Medicine | Southeastern Physician Services PC | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Elizabeth V Marsicano | Gastroenterology | Ssm Health Care St Louis | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Jennifer L Rosener | Nurse Practitioner | Clayton Emergency Group LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Sehrish Waheed | Hospitalist | Sound Physicians of Illinois LLC | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 |
| Stefan Eichhorn | Anesthesiology | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia V Cooper | Clinical Psychologist | Ssm Select Rehab St Louis LLC | 12380 Depaul Dr, Saint Louis, MO 63117 |
| Melanie J Kramer | Nurse Practitioner | Brentwood Painstop LLC | 8225 Clayton Rd, Clayton, MO 63117-1107 |
| Roland S Van Nest | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Barbara Yusen | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Elena M Rodriguez | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Bryan M Rasch | Chiropractic | Brentwood Painstop LLC | 8225 Clayton Rd, Clayton, MO 63117-1107 |
| Sarah E Beerntsen | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Shannon Niere | Optometry | Antoine Eye Care, LLC | 2493 Saint Louis Galleria, Saint Louis, MO 63117-1113 |
| Michael Antoine | Optometry | Antoine Eye Care, LLC | 2493 Saint Louis Galleria, Saint Louis, MO 63117-1113 |
| Alexander R Bottini | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Find all physicians in zip 63117 | |||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | RICHMOND HEIGHTS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jenny Quan Bao.
| 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.