Dr. Eileen Anna Ciccia
MD | Pediatric Nephrology | Female
Dr. Eileen Anna Ciccia, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dr. Eileen Anna Ciccia is
1 Childrens Pl, Div Ped Nephrology, Saint Louis, Missouri - 63110-1002. She can be contacted on phone at
314-454-6043 and fax number 888-463-6898.
Dr. Eileen Anna Ciccia is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Eileen Anna Ciccia is
1497013767 which was assigned by NPPES on 24 Apr, 2012 and it was last updated on 18 Jan, 2023.
Dr. Eileen Anna Ciccia license number is
2019017048 for Pediatrics, Pediatric Nephrology (2080P0210X) in Missouri.
Dr. Eileen Anna Ciccia deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Eileen Anna Ciccia basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Nephrology |
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| Provider Name : | Dr. Eileen Anna Ciccia |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Eileen Anna Ciccia address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Childrens Pl, Div Ped Nephrology
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-6043 |
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| Fax Number : | 888-463-6898 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497013767 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Apr, 2012 |
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| Last Updated On : | 18 Jan, 2023 |
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Medicare Participation:
Dr. Eileen Anna Ciccia participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1759683279 |
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| Medicare Enrollment ID : | I20190717000368 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Saint Louis University School Of Medicine |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Dr. Eileen Anna Ciccia accepts medicare insurance. |
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Group Practice Association:
Dr. Eileen Anna Ciccia is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Eileen Anna Ciccia is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Washington University | 9830008770 | 2383 | 1 Childrens Pl
Saint Louis, MO - 631101002 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eileen Anna Ciccia are as mentioned. Primary taxonomy code for Dr. Eileen Anna Ciccia, MD is
2080P0210X (Pediatrics, Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 2019017048 | MO |
| 208000000X | Pediatrics | No | 036153776 | IL |
| 2080P0210X | Pediatrics, Pediatric Nephrology | No | 036153776 | IL |
| 2080P0210X | Pediatrics, Pediatric Nephrology | Yes | 2019017048 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Eileen Anna Ciccia such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 200028536 | MEDICAID | MO | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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400 N 9TH ST FL 4,
SPRINGFIELD, IL, 62702-5310
United States | SPRINGFIELD, IL | 217-545-8000 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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FHIR
(FHIR URL) | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| |
|
| 1 Childrens Pl, Div Ped Nephrology
Saint Louis, MO, 63110-1002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Childrens Pl, Msc 8515-87-1200
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-6043 |
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| Fax Number : | 888-463-6898 |
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Business Location:
Patients can refer following map for directions to
Dr. Eileen Anna Ciccia practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.