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Deactivated NPI 1790736171 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Clarence Egan , MD

Surgery • St Louis, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Egan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 12, 2006
NPI Deactivation Date August 28, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Egan, MD was a registered Surgery practicing in St Louis, MO. Throughout an active medical career spanning 19 years, Dr. Egan provided care at the practice location at 3535 SOUTH JEFFERSON STE 101 until profile deactivation on 2025-08-28.

Practice Location & Contact Primary Location

Practice Address

3535 South Jefferson Ste 101
Ste 101

St Louis, MO 63111

Telephone 3147717677
Fax 3147737962
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in St Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
17 Specialists

Practicing in St Louis, MO (766 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO R2685

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 28, 2025

Record deactivated on August 28, 2025

NPI Profile Active March 24, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2008

Registered at 3535 SOUTH JEFFERSON STE 101, STE 101, ST LOUIS, MO 63111 (Tel: 3147717677)

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Updated Business Mailing Address March 24, 2008

Registered at 11758 WESTHAM DR, SAINT LOUIS, MO 631312538 (Tel: 3144322491)

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Provider Name / Credentials Updated March 24, 2008

Recorded as ROBERT EGAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2008

Surgery (License #R2685 in MO)

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Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790736171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: March 24, 2008
Deactivation Date: August 28, 2025

Mailing Address

11758 Westham Dr

Saint Louis, MO 631312538

Phone: 3144322491

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.