MRS. CORALIA ILINCA LEYDERMAN PA-C
NPI 1124426812
Physician Assistant in Wentzville, MO

Active since December 11, 2014
1601 WENTZVILLE PKWY STE 117, WENTZVILLE, MO 63385(636) 332-8455 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Coralia Ilinca Leyderman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CORALIA ILINCA LEYDERMAN PA-C (NPI 1124426812) is an individual physician assistant in Wentzville, Missouri, licensed in Missouri (2014025990) and active in the NPI registry since December 2014. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1124426812
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CORALIA ILINCA LEYDERMANCredential: PA-C
Location Address1601 WENTZVILLE PKWY STE 117Wentzville, MO 63385-3814
Mailing Address3635 Vista AveSaint Louis, MO 63110-2539
Sole ProprietorYes
Enumeration DateDecember 11, 2014
Last NPPES UpdateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
NPI 1124426812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2014025990
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1601 WENTZVILLE PKWY STE 117, Wentzville, MO 63385

Secondary Practice Location 1

Location 13635 Vista AveSaint Louis, MO 63110-2539 · Phone (314) 577-8000

Other Identifiers 2

Other1119413Nccpa
Other2014025990MO · Missouri State Pa License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1601 WENTZVILLE PKWY STE 117
WENTZVILLE, MO 63385
Orthopaedic Surgery
1601 WENTZVILLE PKWY STE 117
WENTZVILLE, MO 63385
Physician Assistant
1601 WENTZVILLE PKWY STE 117
WENTZVILLE, MO 63385
Physician Assistant
1601 WENTZVILLE PKWY STE 117
WENTZVILLE, MO 63385
Physician Assistant
1601 WENTZVILLE PKWY STE 117
WENTZVILLE, MO 63385
Orthopaedic Surgery
1601 WENTZVILLE PKWY STE 117
WENTZVILLE, MO 63385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coralia Leyderman's NPI number?

The NPI number for Coralia Leyderman is 1124426812. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Where is Coralia Leyderman located?

Coralia Leyderman practices at 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385. The listed phone number is (636) 332-8455.

What is Coralia Leyderman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Coralia Leyderman was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.