Eric J. W. Bader, D.O.
Individual provider Active NPI Anesthesiology Physician · St Peters, MO
NPI 1679560759 · NPPES record last updated Mar 26, 2010
Key facts
- NPI
- 1679560759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 105825 (MO)
- Practice address
- 10 Hospital Dr
St Peters, MO 63376-1659 - Phone
- (314) 895-3828
- Fax
- (314) 895-3827
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Anesthesia Providers SC
Practice addresses (Care Compare)
10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (636) 916-9000
Hospital & facility affiliations
- Barnes-Jewish St Peters Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000721 | MO | Practitioner - Anesthesiology | 7719918309 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Associates, P.C. | Current |
Accepting new patients | |
| Midwest Anesthesia Providers S.C | Anesthesiology | Current |
Accepting new patients |
Locations
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
11125 Dunn Rd
Ste 100
Saint Louis, MO 63136
Phone (314) 355-5597
114 Piper Hill Dr
Ste 101
Saint Peters, MO 63376
Phone (636) 706-0560
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
Interoperability endpoints
- ebader134356@direct.carenet.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 105825 | MO | Yes |
Addresses
Primary practice location
10 Hospital Dr
St Peters, MO 63376-1659
Mailing address
PO Box 5
Hazelwood, MO 63042-0005
Phone (314) 895-3828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247740400 | Medicaid | MO | |
| 050030948 | Other | RAILROAD MEDICARE |
Other providers in St Peters, MO
- Damian Vincent Baalmann
- Babar Enterprises LLC
- Babar Enterprises LLC
- Amanda R Bach
- Seth Martin Bachelier
- Baecare LLC
- Melissa Bagley
- Anna Bailey Berkley
- Kelly Bailey
- Ann Baker
All providers in St Peters, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.