Mid-America Surgical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MID-AMERICA SURGICAL GROUP INC

Practice address

3535 S Jefferson Ave
Ste 101
Saint Louis, MO 63118-3930

Phone

(314) 771-7677

Fax

(314) 773-7962

NPI assigned

Jun 4, 2006

Last updated

Jun 19, 2008By 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

Dr. Robert C Egan, M.D.

Title

Physician

Phone

(314) 771-7677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1578501987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE",
            "address_2": "STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183930",
            "telephone_number": "314-771-7677",
            "fax_number": "314-773-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE",
            "address_2": "STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183930",
            "telephone_number": "314-771-7677",
            "fax_number": "314-773-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA SURGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-771-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207721903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid County OB GYN Group, Inc
• Mid County Surgery Center
• Mid-America Health
• Mid-America Home Health
• Mid-America Pathology Consultants, LLC
• Mid-America Transplant Services
• Mid-America Transplant Services
• Mid-County Dermatology, Inc
• Mid-County Urology Inc
• Mid-South Home Care Services, LLC (Empatia Palliative Care)

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.