WUCA-WESTSIDE PEDIATRICS LLC
NPI 1700325123
Pediatrics in Lake St Louis, MO

Active since February 17, 2017CLIA 26D0441391 · Waiver
100 BREVCO PLZ, SUITE 101, LAKE ST LOUIS, MO 63367(636) 561-5437(636) 561-5100 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2025, Feb 17, 2017 (2 updates tracked since 2017).

About Wuca-westside Pediatrics Llc NPPES

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

WUCA-WESTSIDE PEDIATRICS LLC (NPI 1700325123) is a healthcare organization registered as a pediatrics in Lake St Louis, Missouri and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.

NPPES Registry Identity

NPI1700325123
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWUCA-WESTSIDE PEDIATRICS LLC
Location Address100 BREVCO PLZ, SUITE 101Lake St Louis, MO 63367-1382
Mailing AddressPo Box 7412119Chicago, IL 60674-2011 · (636) 561-5437 · Fax (636) 561-5100
Fax(636) 561-5100
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Wu Managed Care · (618) 791-0975
Enumeration DateFebruary 17, 2017
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1700325123 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.

100 BREVCO PLZ, Lake St Louis, MO 63367

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0441391
Facility Type
Physician Office
Certificate Effective Date
June 13, 2025
Certificate Expiration Date
June 12, 2027
Laboratory Director
KRIS A. ROBERTS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wuca-westside Pediatrics Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WUCA-WESTSIDE PEDIATRICS LLC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
100 BREVCO PLZ, SUITE 101
LAKE ST LOUIS, MO 63367
Pediatrics (Adolescent Medicine)
100 BREVCO PLZ, SUITE 101
LAKE ST LOUIS, MO 63367
Nurse Practitioner (Pediatrics)
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367
Pediatrics
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367
Pediatrics
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700325123, enumerated as an "organization" on February 17, 2017.

The provider is located at 100 BREVCO PLZ SUITE 101 LAKE ST LOUIS, MO 63367 and the phone number is (636) 561-5437.

Pediatrics with taxonomy code 208000000X.