MRS. CORALIA ILINCA LEYDERMAN PA-C
NPI 1124426812
Physician Assistant in Wentzville, MO
- Individual
- Female
- Physician Assistant
About CORALIA LEYDERMAN
This page provides the complete NPI Profile along with additional information for Coralia Leyderman, a primary care provider established in Wentzville, Missouri with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1124426812 assigned on December 2014. The practitioner's primary taxonomy code is 363A00000X with license number 2014025990 (MO). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1124426812 Verify this NPI
- Provider Name
- MRS. CORALIA ILINCA LEYDERMAN PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1601 WENTZVILLE PKWY STE 117 WENTZVILLE, MO 63385
- Location Phone
- (636) 332-8455
- Mailing Address
- 3635 VISTA AVE SAINT LOUIS, MO 63110
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-11-2014
- Last Update Date
- 11-12-2020
- Code Navigator
A primary care provider (PCP) like Coralia Leyderman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 3635 Vista Ave
Saint Louis, MO 63110
(314) 577-8000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2014025990
- License State
- MO
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1119413 | OTHER (01) | NCCPA | |
| 2014025990 | OTHER (01) | MO | MISSOURI STATE PA LICENSE |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124426812, enumerated as an "individual" on December 11, 2014.
The provider is located at 1601 WENTZVILLE PKWY STE 117 WENTZVILLE, MO 63385 and the phone number is (636) 332-8455.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
