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WUCA-FENTON PEDIATRICS, LLC
NPI 1760953095
Clinic/Center - Multi-Specialty in Fenton, MO

Active since December 16, 2018CLIA 26D0986227 · Waiver
714 GRAVOIS RD STE 200, FENTON, MO 63026(636) 349-5437(636) 349-6663 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Oct 2, 2019, May 2, 2019, Dec 16, 2018 (3 updates tracked since 2018).

About Wuca-fenton Pediatrics, Llc NPPES

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

WUCA-FENTON PEDIATRICS, LLC (NPI 1760953095) is a healthcare organization registered as a multi-specialty in Fenton, Missouri and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.

NPPES Registry Identity

NPI1760953095
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWUCA-FENTON PEDIATRICS, LLC
Location Address714 GRAVOIS RD STE 200Fenton, MO 63026-7723
Mailing AddressPo Box 7412053Chicago, IL 60674-2011 · (314) 273-0770
Phone(636) 349-5437
Fax(636) 349-6663
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Wu Managed Care · (314) 273-0770
Enumeration DateDecember 16, 2018
Last NPPES UpdateApril 29, 20253 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1760953095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
714 GRAVOIS RD STE 200, Fenton, MO 63026
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Other Names 1

Other NameWuca - Fenton Pediatrics, Llc

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 26D0986227

Wuca Fenton Pediatrics LLC · Fenton, MO
Active · expires May 9, 2027
CLIA Number26D0986227
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorIsabel Fernandez-Holtzman
Laboratory Phone(636) 349-5437
Laboratory LocationWuca Fenton Pediatrics LLC714 Gravois Road Ste 200, Fenton, MO 63026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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-Fenton Pediatrics, LLC's NPI number?

The NPI number for Wuca-Fenton Pediatrics, LLC is 1760953095. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is also known as WUCA - Fenton Pediatrics, LLC.

Where is Wuca-Fenton Pediatrics, LLC located?

Wuca-Fenton Pediatrics, LLC is located at 714 Gravois Rd Ste 200, Fenton, MO 63026. The listed phone number is (636) 349-5437.

What is Wuca-Fenton Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Wuca-Fenton Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0986227) is associated with this NPI, valid through May 9, 2027. 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-Fenton 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 16 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.