MID-AMERICA SURGICAL GROUP INC NPI 1578501987

NPI Information

  • NPI: 1578501987
  • Provider Name: MID-AMERICA SURGICAL GROUP INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3535 S JEFFERSON AVE
    STE 101
    SAINT LOUIS, MO
    ZIP 63118
  • Phone: (314) 771-7677

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NPI Details

MID-AMERICA SURGICAL GROUP INC is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID-AMERICA SURGICAL GROUP INC NPI is 1578501987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3535 S JEFFERSON AVE
STE 101
SAINT LOUIS, MO
ZIP 63118-930
Phone: (314) 771-7677
Fax: (314) 773-7962

The provider's authorized official is Robert C Egan .
The authorized official title is Physician and has the following contact phone number (314) 771-7677.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010614MEDICARE PINMISSOURI
2213632MEDICARE PINILLINOIS
3207721903MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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