Active NPI
Child Neurology - Washington
Doing business as Child Neurology-WUCA, LLC
- Pediatrics Physician
- Chesterfield, MO
National Provider Identifier
1508128661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CHILD NEUROLOGY - WASHINGTON
- Doing business as
- Child Neurology-WUCA, LLC
- Practice address
- 13001 North Outer 40 Rd
Suite 1a
Chesterfield, MO 63017-5941 - Phone
- (314) 454-6363
- Fax
- (314) 454-6364
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cathy Eghigian
- Title
- Director, Credentialing Operations
- Phone
- (314) 273-0770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
13001 North Outer 40 Rd
Suite 1a
Chesterfield, MO 63017-5941
Mailing address
13001 North Outer 40 Rd
Suite 1a
Chesterfield, MO 63017-5941
Phone (314) 454-6363
Other names 1
- Child Neurology-WUCA, LLC
National Provider Directory
National Provider DirectoryLocations
13001 North Outer 40 Rd
Ste 1A
Chesterfield, MO 63017
Phone (314) 454-6120
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Genetics (M.D.) Physician
- Saint Louis, MO
- NPI 1255359741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489708800000",
"number": "1508128661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 NORTH OUTER 40 RD",
"address_2": "SUITE 1A",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175941",
"telephone_number": "314-454-6363",
"fax_number": "314-454-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 NORTH OUTER 40 RD",
"address_2": "SUITE 1A",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175941",
"telephone_number": "314-454-6363",
"fax_number": "314-454-6364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD NEUROLOGY - WASHINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2017-03-17",
"status": "A",
"authorized_official_last_name": "EGHIGIAN",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "DIRECTOR, CREDENTIALING OPERATIONS",
"authorized_official_telephone_number": "314-273-0770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Child Neurology-WUCA, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, MO
- Chesterfield Valley Internal Medicine & Pediatrics LLC
- Chesterfield Villas, LLC (Chesterfield Villas)
- Chesterfield-Bankhead DDS Orthodontics PC (Chesterfield Orthodontics)
- Kyle Chestnas
- Ngozika Joy Chiemeka, MD
- Child Neurology Associates Inc
- Child Neurology Associates, Inc.
- Children's Gastroenterology of St. Louis, P.C.
- Chiro One Wellness Center of Ellisville LLC
- Chiromart Missouri (The Backspace)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.