Wuca-Fenton Pediatrics, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WUCA-FENTON PEDIATRICS, LLC

Practice address

714 Gravois Rd Ste 200
Fenton, MO 63026-7723

Phone

(636) 349-5437

Fax

(636) 349-6663

NPI assigned

Dec 16, 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

• WUCA - Fenton Pediatrics, LLC 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, and the practitioner matching its NPPES authorized official.

• Diane M Eschmann-Morie, MD

  • Pediatrics Physician
  • Fenton, MO
  • NPI 1902910292
  Medicare reassignment NPD
• Isabel Fernandez-Holtzman, MD

  • Pediatrics Physician
  • Fenton, MO
  • NPI 1629182852
  Medicare reassignment NPD
• Lauren Elizabeth Jones, DO

  • Pediatrics Physician
  • Fenton, MO
  • NPI 1477084564
  Medicare reassignment NPD
• Valerie Rose Kover, MD

  • Pediatrics Physician
  • Fenton, MO
  • NPI 1639348428
  Medicare reassignment NPD
• Dawn Marie Roemer, PNP

  • Pediatric Nurse Practitioner
  • Chesterfield, MO
  • NPI 1093995466
  Medicare reassignment NPD
• Christine Ann Vaughan, FNP

  • Family Nurse Practitioner
  • Fenton, MO
  • NPI 1871966796
  Medicare reassignment NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1760953095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412053",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-273-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD STE 200",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267723",
            "telephone_number": "636-349-5437",
            "fax_number": "636-349-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WUCA-FENTON PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "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": "WUCA - Fenton Pediatrics, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WUCA - Fenton Pediatrics, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard Felix Wittock III, D.P.M.
• Carrie Wolf, PT
• Laura K Wolters, PT, DPT
• Nirandon Wongsurawat, MD
• Steven Michael Workman, D.M.D.
• Michelle L Yepez, RPH
• Joseph Theodore Young, M.D.
• Sheikh M Zahid, M.D.
• Patricia M Zelle, RD, LD
• Matthew Thomas Zimmerman, DO

• Multi-Specialty Clinic/Center in Fenton, MO
• Providers in Fenton, 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.