WUCA-WESTSIDE PEDIATRICS LLC
NPI 1700325123
Pediatrics in Lake St Louis, MO
- Organization
- Pediatrics
- CLIA Number: 26D0441391
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-12-2027
About WUCA-WESTSIDE PEDIATRICS LLC
This page provides the complete NPI Profile along with additional information for Wuca-westside Pediatrics Llc, a pediatrician established in Lake St Louis, Missouri operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1700325123 assigned on February 2017. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Wuca-westside Pediatrics Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Cathy Eghigian (Senior Director Wu Managed Care)
- NPI
- 1700325123 Verify this NPI
- Provider Name
- WUCA-WESTSIDE PEDIATRICS LLC
- Entity Type
- Organization
- Location Address
- 100 BREVCO PLZ SUITE 101 LAKE ST LOUIS, MO 63367
- Location Phone
- (636) 561-5437
- Location Fax
- (636) 561-5100
- Mailing Address
- PO BOX 7412119 CHICAGO, IL 60674
- Mailing Phone
- (636) 561-5437
- Mailing Fax
- (636) 561-5100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-17-2017
- Last Update Date
- 07-10-2025
- Code Navigator
A pediatrician like Wuca-westside Pediatrics Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
LAKE ST LOUIS, MO 63367
LAKE ST LOUIS, MO 63367
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.
