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WINGHAVEN PEDIATRICS LLC
NPI 1568596922
Pediatrics in O Fallon, MO

Active since March 15, 2007
5551 WINGHAVEN BLVD, O FALLON, MO 63368(636) 561-5561(636) 561-5557 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Winghaven Pediatrics Llc NPPES

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

WINGHAVEN PEDIATRICS LLC (NPI 1568596922) is a healthcare organization registered as a pediatrics in O Fallon, Missouri and active in the NPI registry since March 2007. The organization lists Holly Loeffler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568596922
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWINGHAVEN PEDIATRICS LLC
Location Address5551 WINGHAVEN BLVDO Fallon, MO 63368-3617
Mailing Address5551 Winghaven Blvd, Suite 240O'fallon, MO 63368 · (636) 561-5561 · Fax (636) 561-5557
Phone(636) 561-5561
Fax(636) 561-5557
Organization SubpartNo
Authorized OfficialHolly LoefflerOffice Manager · (636) 561-5561
Enumeration DateMarch 15, 2007
Last NPPES UpdateApril 22, 2009
✔ NPI 1568596922 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.
5551 WINGHAVEN BLVD, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 26D1056761

Winghaven Pediatrics LLC · O Fallon, MO
Expired · Jul 24, 2026
CLIA Number26D1056761
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorAlison H. Oswald MD
Laboratory Phone(636) 379-3379
Laboratory LocationWinghaven Pediatrics LLC5551 Winghaven Blvd, Ste 240, O Fallon, MO 63368
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

FOREFRONT DERMATOLOGY, S.C.
Dermatology
5551 WINGHAVEN BLVD, SUITE 210
O FALLON, MO 63368
St. Charles County (920) 663-9016
DR. VAN A HARGRAVES MD
Family Medicine
5551 WINGHAVEN BLVD, SUITE 142
O FALLON, MO 63368
St. Charles County (636) 695-2510
DR. PHANN D VU D.P.M.
Podiatrist
5551 WINGHAVEN BLVD, STE 280
O FALLON, MO 63368
St. Charles County (636) 695-4343
LORI PAYNE
Nurse Practitioner (Pediatrics)
5551 WINGHAVEN BLVD, SUITE 240
O FALLON, MO 63368
St. Charles County (636) 561-5561
JENNA A SANDERS ANP-C
Nurse Practitioner (Adult Health)
5551 WINGHAVEN BLVD, STE 290
O FALLON, MO 63368
St. Charles County (636) 695-2575
ARDIS K ALLISON DO
Pediatrics
5551 WINGHAVEN BLVD, SUITE 240
O'FALLON, MO 63368
St. Charles County (636) 561-5561
DR. GARY D GRAY MD
Internal Medicine
5551 WINGHAVEN BLVD, STE 290
O FALLON, MO 63368
St. Charles County (636) 695-2575
ALEXANDER M BOLLIS M.D.
Internal Medicine (Cardiovascular Disease)
5551 WINGHAVEN BLVD, SUITE 132
O FALLON, MO 63368
St. Charles County (636) 695-2514

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 Winghaven Pediatrics LLC's NPI number?

The NPI number for Winghaven Pediatrics LLC is 1568596922. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Winghaven Pediatrics LLC located?

Winghaven Pediatrics LLC is located at 5551 Winghaven Blvd, O Fallon, MO 63368. The listed phone number is (636) 561-5561.

What is Winghaven Pediatrics LLC's specialty?

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

What insurance does Winghaven Pediatrics LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Winghaven Pediatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Winghaven Pediatrics LLC was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.