| Wuca Southwest Pediatrics Llc | |
|
6526 Lansdowne Ave Saint Louis MO 63109-2654 | |
| (314) 353-8777 | |
| Not Available |
| Full Name | Wuca Southwest Pediatrics Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6526 Lansdowne Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (DIRECTOR, CREDENTIALING OPERATIONS) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wuca Southwest Pediatrics Llc 6526 Lansdowne Ave Saint Louis MO 63109-2654 Ph: (314) 353-8777 | Wuca Southwest Pediatrics Llc 6526 Lansdowne Ave Saint Louis MO 63109-2654 Ph: (314) 353-8777 |
| NPI Number | 1972091825 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 04/26/2018 |
| Medicare PECOS PAC ID | 6002162450 |
|---|---|
| Medicare Enrollment ID | O20180627003100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972091825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sarah E Aubuchon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336302660 PECOS PAC ID: 3678751039 Enrollment ID: I20110707000265 |
| Provider Name | Andrea N Mcculloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104192772 PECOS PAC ID: 5799031142 Enrollment ID: I20180627003289 |
| Provider Name | Veronica Joan Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275927121 PECOS PAC ID: 2769738129 Enrollment ID: I20180627003514 |
| Provider Name | Shilpa Teralandur Menolascino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508112301 PECOS PAC ID: 2668728023 Enrollment ID: I20180627003570 |
| Provider Name | Robert David Spewak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578534236 PECOS PAC ID: 4385990746 Enrollment ID: I20180627003607 |
| Provider Name | Karen L Whiteside |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417928078 PECOS PAC ID: 6002162468 Enrollment ID: I20180627003652 |
| Provider Name | Jerome H Oneil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982675641 PECOS PAC ID: 8426304882 Enrollment ID: I20180627003754 |
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