Premier Pediatrics LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIER PEDIATRICS LLC

Practice address

5114 Mid America PLZ Ste 2C
Saint Louis, MO 63129-0003

Phone

(314) 859-4000

Fax

(314) 273-4110

NPI assigned

Aug 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cathy Eghigian

Title

Senior Director Wu Managed Care

Phone

(314) 273-0770

Specialties & licenses 1

Addresses

Other names 1

• Premier Pediatrics Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George C Anderson, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1669497764
  Medicare reassignment NPD
• Jennifer B Foersterling, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1851378475
  Medicare reassignment NPD
• Emily Joy Riley, PNP

  • Pediatric Nurse Practitioner
  • Saint Louis, MO
  • NPI 1578867164
  Medicare reassignment NPD
• Sandeep Rohatgi, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1194791335
  Medicare reassignment NPD
• Linda A Tackes, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1003848425
  Medicare reassignment NPD
• Julia Catherine Young, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1023024163
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1083195762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-859-4000",
            "fax_number": "314-859-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 MID AMERICA PLZ STE 2C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631290003",
            "telephone_number": "314-859-4000",
            "fax_number": "314-273-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "EGHIGIAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR WU MANAGED CARE",
        "authorized_official_telephone_number": "314-273-0770"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Premier Emergency Physicians, LLC
• Premier Home Care Services LLC
• Premier Medical Physicians LLC
• Premier Medical Specialists, LLC
• Premier Medical Staffin Services
• Premier Prosthetics and Orthotics (ForMotion Clinic)
• Premier Spine and Joint LLC
• Premier U Telemed
• Premire Companion Care Agency LLC.
• Premise Health of Missouri Medical PC (AT&T Health & Wellbeing Center Operated by Premise Health)

• Multi-Specialty Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.