Eileen Anna Ciccia, MD

Pediatric Nephrology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1497013767

Practice location

1 Childrens Pl
Div Ped Nephrology
Saint Louis, MO 63110-1002
Phone
(314) 454-6043
Fax
(888) 463-6898

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NPI record

NPI
1497013767
Entity type
Individual (Type 1)
Enumeration date
April 24, 2012
Last updated
April 17, 2025
Certified
January 18, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nephrology Physician Primary 2080P0210X 2019017048 MO
Pediatrics Physician 208000000X 2019017048 MO

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone
(314) 454-6043
Fax
(888) 463-6898

About Dr. Ciccia

Eileen Anna Ciccia, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nephrology Physician (code 2080P0210X). The practice location is 1 Childrens Pl, Div Ped Nephrology, Saint Louis, MO 63110-1002. The NPI number 1497013767 was assigned on April 24, 2012 and the record was last updated on April 17, 2025.

Dr. Ciccia lists 2 licenses in the registry: #2019017048 (MO) for Pediatric Nephrology Physician; #2019017048 (MO) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eileen Anna Ciccia, MD?

The NPI number is 1497013767.

What is the phone number of Dr. Ciccia?

The phone number listed for the practice location is (314) 454-6043.

Where is Dr. Ciccia located?

1 Childrens Pl, Div Ped Nephrology, Saint Louis, MO 63110-1002.

What is the taxonomy code for Dr. Ciccia?

The primary taxonomy code is 2080P0210X – Pediatric Nephrology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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