Wuca - Cloverleaf Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WUCA - CLOVERLEAF PEDIATRICS, LLC

Practice address

5301 Veterans Memorial Pkwy Ste 104
Saint Peters, MO 63376-2299

Phone

(636) 939-3362

NPI assigned

Dec 23, 2014

Last updated

Apr 25, 2025By the provider in NPPES

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 Managed Care

Phone

(314) 273-0770

Specialties & licenses 1

Addresses

Other names 1

• Washington University Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorena Buffa, MD

  • Pediatrics Physician
  • Saint Peters, MO
  • NPI 1124092788
  Medicare reassignment NPD
• Brian Joseph Glen, DO

  • Pediatrics Physician
  • Saint Peters, MO
  • NPI 1043779044
  Medicare reassignment NPD
• Rebeca Millan Hilleman, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1073873550
  Medicare reassignment NPD
• Angela M Jones, MD

  • Pediatrics Physician
  • Saint Peters, MO
  • NPI 1972579654
  Medicare reassignment NPD
• Alla Dorfman, MD

  • Pediatrics Physician
  • Saint Peters, MO
  • NPI 1548234974
  Medicare reassignment
• Sydney Nicole Grimm, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1619602620
  Medicare reassignment
• Shae Lynn Strom, LCSW

  • Social Worker
  • Saint Louis, MO
  • NPI 1477183689
  Medicare reassignment
• Karen Nauman, MD

  • Pediatrics Physician
  • Glen Carbon, IL
  • NPI 1306819099
  NPD (past)

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1710375928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412049",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "636-939-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 VETERANS MEMORIAL PKWY STE 104",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762299",
            "telephone_number": "636-939-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WUCA - CLOVERLEAF PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "EGHIGIAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR MANAGED CARE",
        "authorized_official_telephone_number": "314-273-0770"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington University",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Brian Wulff, D.C.
• Kay Michelle Wunderlich, FNP-C
• Yanling Yan, LCSW
• Laurel A Yeager, MD

• Pediatrics Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.