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DR. DWAYNE MICHAEL ST JACQUES MD
NPI 1508830803
Pediatrics in Phoenix, AZ

Active since February 14, 2006
15215 S 48TH ST, SUITE 110, PHOENIX, AZ 85044(480) 783-8964(480) 783-8967 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dwayne Michael St Jacques Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DWAYNE MICHAEL ST JACQUES MD (NPI 1508830803) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AZ24143) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1508830803
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DWAYNE MICHAEL ST JACQUESCredential: MD
Location Address15215 S 48TH ST, SUITE 110Phoenix, AZ 85044-9142
Mailing Address15215 S 48th St, Suite 110Phoenix, AZ 85044-9142 · (480) 783-8964 · Fax (480) 783-8967
Phone(480) 783-8964
Fax(480) 783-8967
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJanuary 22, 2019
✔ NPI 1508830803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · AZ24143
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 24143 (AZ)
15215 S 48TH ST, Phoenix, AZ 85044
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Other Identifiers 1

Medicaid424052AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERY A KOHLER, DDS, PC
Dentist
15215 S 48TH ST, SUITE 190
PHOENIX, AZ 85044
Maricopa County (480) 893-2474
DR. ROBERT B OGESEN II M.D.
Psychiatry & Neurology (Addiction Medicine)
15215 S 48TH ST, STE 152
PHOENIX, AZ 85044
Maricopa County (480) 704-8585
MR. GORDON ALAN GUNNELL MS, LMFT, LISAC
Counselor (Addiction (Substance Use Disorder))
15215 S 48TH ST, SUITE 116
PHOENIX, AZ 85044
Maricopa County (480) 220-7050
MR. GREGORY PAUL EDMONDS DDS
Dentist
15215 S 48TH ST, #158
PHOENIX, AZ 85044
Maricopa County (480) 598-3006
MS. MINDY STADLER HENDRICKSON PA-C
Physician Assistant
15215 S 48TH ST, SUITE 120
PHOENIX, AZ 85044
Maricopa County (480) 706-6580
ENGLISH DERMATOLOGY PC
Dermatology
15215 S 48TH ST, SUITE 120
PHOENIX, AZ 85044
Maricopa County (480) 706-6580
DR. JEFFERY ARTHUR KOHLER D.D.S.
Dentist
15215 S 48TH ST, SUITE 190
PHOENIX, AZ 85044
Maricopa County (480) 893-2474
ALCOHOL RECOVERY SOLUTIONS, INC.
Community/Behavioral Health
15215 S 48TH ST, SUITE 150
PHOENIX, AZ 85044
Maricopa County (480) 496-9760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwayne St Jacques's NPI number?

The NPI number for Dwayne St Jacques is 1508830803. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Dwayne St Jacques located?

Dwayne St Jacques practices at 15215 S 48th St Suite 110, Phoenix, AZ 85044. The listed phone number is (480) 783-8964.

What is Dwayne St Jacques's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Dwayne St Jacques accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Dwayne St Jacques as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dwayne St Jacques was last updated on January 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.