MEDICARE: MID-AMERICA SURGICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578501987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID-AMERICA SURGICAL GROUP INC

Provider Business Mailing Address
First Line	:	3535 S JEFFERSON AVE
Second Line	:	STE 101
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3930
Country	:	US
Telephone Number	:	314-771-7677
Fax Number	:	314-773-7962

Provider Business Practice Location Address
First Line	:	3535 S JEFFERSON AVE
Second Line	:	STE 101
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3930
Country	:	US
Telephone Number	:	314-771-7677
Fax Number	:	314-773-7962

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ROBERT C EGAN
Credential	:	M.D.
Telephone Number	:	314-771-7677

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	06/19/2008

Similar Medicare Providers

1669478970 — DR. THOMAS PATRICK KUCIEJCZYK-KERNAN M.D.
Practice Location Address:

3930 S BROADWAY
SAINT LOUIS, MO
63118-4626

Practice Phone: 314-898-1700
Practice Fax: 314-814-8542

1982690004 — RONALD J GASKIN MD
Practice Location Address:

3535 S JEFFERSON AVE , #201
SAINT LOUIS, MO
63118-3930

Practice Phone: 314-577-5778
Practice Fax: 314-577-5726

1790767721 — SUSAN JANE AKINS MSN RN BC AP MHCNS
Practice Location Address:

3535 S JEFFERSON AVE , SUITE 118
SAINT LOUIS, MO
63118-3930

Practice Phone: 314-776-7999
Practice Fax: 314-772-2257

1942288006 — DR. DEVON N GOLDING MD
Practice Location Address:

3535 S JEFFERSON AVE
SAINT LOUIS, MO
63118-3930

Practice Phone: 314-664-4808
Practice Fax: 314-772-0600

1992764195 — MRS. MARY ELLEN MYERS RN, APRN-C
Practice Location Address:

3535 S JEFFERSON AVE
SAINT LOUIS, MO
63118-3930

Practice Phone: 314-776-7999
Practice Fax: 844-848-6137

1528082450 — DR. RICK RODRIGUEZ O.D.
Practice Location Address:

3535 S JEFFERSON AVE , SUITE S7
SAINT LOUIS, MO
63118-3930

Practice Phone: 314-664-1158
Practice Fax: 314-664-0837

Directions to “MID-AMERICA SURGICAL GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.