Jo H Bonner (NPI# 1982701371, PAC ID# 5496667552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1982701371 |
| PAC ID by PECOS | 5496667552 |
| Professional Enrollment ID | I20031105000676 |
| Full Name | Jo H Bonner |
| Organization Legal Name | MERCY CLINIC NEUROLOGY, LLC |
| Address |
621 S Ballas Rd 6005b Saint Louis MO 63122-5314 |
| Phone Number | 3142516075 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 8729183967 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 621 S Ballas Rd, 6005b, Saint Louis, MO 63122-5314 | 3142516075 | MERCY CLINIC NEUROLOGY, LLC |
| Organization Legal Name | MERCY CLINIC NEUROLOGY, LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy C Rauchway | Neurology | Mercy Clinic Neurology, LLC | 1176 Town and Country Commons Dr, Chesterfield, MO 63017-8200 |
| Jessica Lynn Boedeker | Nurse Practitioner | Mercy Clinic Neurology, LLC | 621 S New Ballas Rd, 5003b, Saint Louis, MO 63141-8270 |
| Bingzhong Chen | Neurology | Mercy Clinic Neurology, LLC | 1176 Town and Country Commons Dr, Chesterfield, MO 63017-8200 |
| Katherine M Shine | Nurse Practitioner | Mercy Clinic Neurology, LLC | 621 S New Ballas Rd, 5003b, Saint Louis, MO 63141-8270 |
| Mohamed M Alwan | Neurology | Mercy Clinic Neurology, LLC | 621 S New Ballas Rd, 5003b, Saint Louis, MO 63141-8270 |
| Allison E Miller | Nurse Practitioner | Mercy Clinic Neurology, LLC | 621 S New Ballas Rd, 5003b, Saint Louis, MO 63141-8270 |
| Patricia Schrader | Nurse Practitioner | Mercy Clinic Neurology, LLC | 621 S New Ballas Rd, 5003b, Saint Louis, MO 63141-8270 |
| Emily Evans | Neurology | Mercy Clinic Neurology, LLC | 1176 Town and Country Commons Dr, Chesterfield, MO 63017-8200 |
| Yongzhong Wei | Physician Assistant | Mercy Clinic Neurology, LLC | 901 Patients 1st Dr, Suite 2000, Washington, MO 63090-4700 |
| Mohamed Babiker Tom Bakhit | Neurology | Mercy Clinic Neurology, LLC | 621 S New Ballas Rd, 5003b, Saint Louis, MO 63141-8270 |
| Street Address |
621 S BALLAS RD 6005B |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63122-5314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Selwyn Picker | Neurosurgery | Signature Medical Group, Inc. | 621 S Ballas Rd, 310a, Saint Lous, MO 63141-5314 |
| Wegdan Andrews | Neurology | Mercy Clinic Neurology, LLC | 621 S Ballas Rd, 6005b, Saint Louis, MO 63122-5314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Mistretta | Chiropractic | 11229 Manchester Rd, Saint Louis, MO 63122-1122 | |
| Deborah G Lavender | Physical Therapy | 11247 Manchester Rd, Kirkwood, MO 63122-1122 | |
| Linda Patton Walsh | Physical Therapy | Transfiguration Inc | 11247 Manchester Rd, Kirkwood, MO 63122-1122 |
| James W Hankinson | Chiropractic | 11216 Manchester Rd, Kirkwood, MO 63122-1123 | |
| John T Scarlas | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Russell W Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Sherry K Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Dawn Gross | Clinical Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
| Lorie M Mcreynolds | Optometry | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | |
| Sidney D Ybarra | Chiropractic | 11029 Manchester Rd, Saint Louis, MO 63122-1254 | |
| Find all physicians in zip 63122 | |||
| City | SAINT LOUIS |
| Zip Code | 63122 |
| Specialty | NEUROLOGY |
| City + Specialty | SAINT LOUIS + NEUROLOGY |
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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.