Baolin Fan (NPI# 1568568897, PAC ID# 7113972837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1568568897 |
| PAC ID by PECOS | 7113972837 |
| Professional Enrollment ID | I20050316000028 |
| Full Name | Baolin Fan |
| Address |
6420 Clayton Rd Saint Louis MO 63117-1811 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| 260210 | ST ALEXIUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1035 Bellevue Ave, Suite 110, Saint Louis, MO 63117-1847 | ||
| 1035 Bellevue Ave, Suite 110, Saint Louis, MO 63117-1847 | 3146470180 | ABBOTT AND ASSOCIATES, INC. |
| 3933 S Broadway, Saint Louis, MO 63118-4601 | ||
| 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
6420 CLAYTON RD |
| City | SAINT LOUIS |
| 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 | SAINT LOUIS |
| Zip Code | 63117 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT LOUIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Baolin Fan.
| 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.