| Wuca Woods Mill Pediatrics, LLC | |
|
226 S Woods Mill Rd Suite 36w Chesterfield MO 63017-3662 | |
| (314) 453-9666 | |
| Not Available |
| Full Name | Wuca Woods Mill Pediatrics, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 226 S Woods Mill Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (SENIOR DIRECTOR WU MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wuca Woods Mill Pediatrics, LLC Po Box 7412041 Chicago IL 60674-2011 Ph: (314) 453-9666 | Wuca Woods Mill Pediatrics, LLC 226 S Woods Mill Rd Suite 36w Chesterfield MO 63017-3662 Ph: (314) 453-9666 |
| NPI Number | 1023561156 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Medicare PECOS PAC ID | 7911288337 |
|---|---|
| Medicare Enrollment ID | O20161227000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023561156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Lisa a Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215120589 PECOS PAC ID: 8426347105 Enrollment ID: I20160525002924 |
| Provider Name | Kenneth C Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467465443 PECOS PAC ID: 3678855202 Enrollment ID: I20170116000624 |
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Diagnostic Internists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, 410 S, Chesterfield, MO 63017 Phone: 314-878-7220 Fax: 314-878-0047 |