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WUCA-O'FALLON PEDIATRICS, LLC
NPI 1366830572
Pediatrics in O Fallon, MO

Active since December 23, 2014CLIA 26D2118076 · Waiver
20 PROGRESS POINT PKWY, SUITE 220, O FALLON, MO 63368(636) 344-3333 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wuca-o'fallon Pediatrics, Llc NPPES

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

WUCA-O'FALLON PEDIATRICS, LLC (NPI 1366830572) is a healthcare organization registered as a pediatrics in O Fallon, Missouri and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.

NPPES Registry Identity

NPI1366830572
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWUCA-O'FALLON PEDIATRICS, LLC
Location Address20 PROGRESS POINT PKWY, SUITE 220O Fallon, MO 63368-2206
Mailing AddressPo Box 7412027Chicago, IL 60674-2011 · (636) 344-3333
Phone(636) 344-3333
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Wu Managed Care · (314) 273-0770
Enumeration DateDecember 23, 2014
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1366830572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
20 PROGRESS POINT PKWY, O Fallon, MO 63368
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2118076

Wuca O'fallon Pediatrics · O Fallon, MO
Active · expires Aug 29, 2026
CLIA Number26D2118076
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorPhillip D. Reichort
Laboratory Phone(636) 344-3333
Laboratory LocationWuca O'fallon Pediatrics20 Progress Point Pkwy Ste 220, O Fallon, MO 63368
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. CECILIA H YU MD
Pediatrics
20 PROGRESS POINT PKWY, STE 220
O FALLON, MO 63368
St. Charles County (636) 344-3333
DR. JOHN A MYERS MD
Pediatrics
20 PROGRESS POINT PKWY, STE 220
O FALLON, MO 63368
St. Charles County (636) 344-3333
MR. DUNCAN SCOTT MCHARDY FNP
Nurse Practitioner (Family)
20 PROGRESS POINT PKWY, DEPT ORTHOPAEDIC SURGERY, STE 114
O FALLON, MO 63368
St. Charles County (314) 514-3500
DR. NIKOL LEI SMART MD
Obstetrics & Gynecology
20 PROGRESS POINT PKWY, STE 206
O FALLON, MO 63368
St. Charles County (636) 344-1073
GINA VIRGINIA HERMSEN NELSON R.N.,C.P.N.P.
Nurse Practitioner (Pediatrics)
20 PROGRESS POINT PKWY, SUITE 220
O FALLON, MO 63368
St. Charles County (636) 344-3333
DR. ENMANUEL JOSE PEREZ MD
Psychiatry & Neurology (Neurology)
20 PROGRESS POINT PKWY
O FALLON, MO 63368
St. Charles County (636) 916-7060
MILTON OLUDHE OCHIENG' M.D.
Internal Medicine (Gastroenterology)
20 PROGRESS POINT PKWY, STE 108
O FALLON, MO 63368
St. Charles County (636) 344-1073
ANGELA C CLERCX NP-C
Nurse Practitioner (Family)
20 PROGRESS POINT PKWY, STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400

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 Wuca-O'fallon Pediatrics, LLC's NPI number?

The NPI number for Wuca-O'fallon Pediatrics, LLC is 1366830572. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Wuca-O'fallon Pediatrics, LLC located?

Wuca-O'fallon Pediatrics, LLC is located at 20 Progress Point Pkwy Suite 220, O Fallon, MO 63368. The listed phone number is (636) 344-3333.

What is Wuca-O'fallon Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Wuca-O'fallon Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2118076) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wuca-O'fallon Pediatrics, LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.