Organization Active NPI

Child Neurology - Washington

Doing business as Child Neurology-WUCA, LLC

  • Pediatrics Physician
  • Chesterfield, MO
National Provider Identifier
1508128661
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Mar 17, 2017

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.