Mid-America Surgical Group Inc

LBN: Mid-America Surgical Group Inc
Mid-America Surgical Group Inc is an health care organization with primary practice located at 3535 S Jefferson Ave Ste 101, Saint Louis MO 63118-3930. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mid-America Surgical Group Inc can be contacted via phone (314) 771-7677, or through Egan, Robert C via phone (314) 771-7677.

Contact Information

Primary practice address
3535 S Jefferson Ave Ste 101 Saint Louis MO 63118-3930
Phone: (314) 771-7677
Fax: (314) 773-7962
Website:
Map and Directions
Authorized official contact:
Name: Egan, Robert C Doctor of Medicine (MD)
Phone: (314) 771-7677

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1578501987
LBN Legal business name Mid-America Surgical Group Inc
DBA Doing business as
Authorized official Egan, Robert C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Jun 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578501987 NPPES
Missouri MEDICAID 207721903

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