DR. ROBERT CLARENCE EGAN (NPI# 1790736171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790736171 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CLARENCE EGAN |
| Credential | M.D. |
| Practice Address |
3535 South Jefferson Ste 101 Ste 101 St Louis MO 63111 |
| Mailing Address |
11758 Westham Dr Saint Louis MO 63131-2538 |
| Practice Telephone | 3147717677 |
| Practice Fax Number | 3147737962 |
| Mailing Telephone | 3144322491 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | R2685 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144522624 | Robert R Egan | Contractor | 2512 Lakeside Woods Dr, Bumpass, VA 23024-9685 | 2010-12-03 |
| 1487726659 | Robert Egan | Chiropractor | 1078 Big Bethel Rd, Hampton, VA 23666-1947 | 2006-11-14 |
| 1891073938 | Robert James Egan | Counselor | 415 Bonaventure Rd, Thunderbolt, GA 31404-3299 | 2011-07-22 |
| 1669770228 | Robert Monroe Egan | Case Manager/Care Coordinator | 118 S Main St, Las Cruces, NM 88001-1266 | 2011-03-07 |
| 1164639563 | Robert Richard Egan | Counselor | 2441 Jackson St, San Francisco, CA 94115-1324 | 2007-05-16 |
| 1396771358 | Robert Arthur Egan | Ophthalmology | 2500 Grant Rd, Mountain View, CA 94040-4302 | 2006-06-23 |
| 1144207754 | Robert Jeffery Egan | Anesthesiology | 6606 Lbj Fwy Ste 200, Dallas, TX 75240 | 2005-12-23 |
| 1679557789 | Robert J Egan | Family Medicine | 3011 W Grand Blvd, Suite 2402, Detroit, MI 48202-3096 | 2005-12-01 |
| Street Address |
3535 SOUTH JEFFERSON STE 101 STE 101 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| 1467871137 | Theresa Drallmeier | Family Medicine | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2014-04-10 |
| Find all providers in zip 63111 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962926311 | Blaire Lori Anderson | Surgery | 4921 Parkview Place Ste 8c, St Louis, MO 63110 | 2017-07-27 |
| 1336243575 | M Ali Raffa | Surgery | 3535 South Jefferson, Suite 200, St Louis, MO 63118 | 2006-09-09 |
| 1750380846 | Samuel Marquez | Surgery | 621 S. New Ballas Road, Suite 560a, St Louis, MO 63141 | 2005-07-20 |
| 1083846208 | Carrie Luu | Surgery | 3635 Vista Ave, Desloge Towers, 3rd Floor, St Louis, MO 63110 | 2009-08-20 |
| 1699964536 | Joshua E Jensen II Md LLC | Surgery | 11155 Dunn Rd, Ste 205 N, St Louis, MO 63136 | 2007-10-16 |
| 1407936057 | Tempo Surgical Inc | Surgery | 1040 N Mason Rd, 214, St Louis, MO 63141 | 2006-10-17 |
| 1962509760 | Alan M Londe | Surgery | 1040 N Mason Rd, #214, St Louis, MO 63141 | 2006-09-20 |
| 1194829705 | Donald L Kaminski | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-12 |
| 1003910225 | Eddy C Hsueh | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-08 |
| 1629172846 | Carl Freeman | Surgery | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-09-08 |
| Find all providers in ST LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.