Mid-America Transplant Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MID-AMERICA TRANSPLANT SERVICES

Practice address

1110 Highlands Plaza Dr E
100
Saint Louis, MO 63110-1350

Phone

(314) 735-8374

Fax

(314) 735-8375

NPI assigned

Apr 24, 2012

Last updated

Jul 1, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Diane Brockmeier

Title

Ceo

Phone

(314) 735-8267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mid-America Transplant Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-America Transplant Services

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
  • NPI 1366817744
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Paul Jaques, MD

  • Surgery Physician
  • Saint Louis, MO
  • NPI 1093706541
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1275891590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HIGHLANDS PLAZA DR E",
            "address_2": "100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101350",
            "telephone_number": "314-735-8374",
            "fax_number": "314-735-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HIGHLANDS PLAZA DR E",
            "address_2": "100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101350",
            "telephone_number": "314-735-8374",
            "fax_number": "314-735-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA TRANSPLANT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "BROCKMEIER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-735-8267"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid County Surgery Center
• Mid-America Health
• Mid-America Home Health
• Mid-America Pathology Consultants, LLC
• Mid-America Surgical Group Inc
• Mid-America Transplant Services
• Mid-County Dermatology, Inc
• Mid-County Urology Inc
• Mid-South Home Care Services, LLC (Empatia Palliative Care)
• Mid-West Podiatry and Associates, L L C

• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.