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DWAYNE ST. JACQUES MD PLLC
NPI 1902370349
Pediatrics - Adolescent Medicine in Phoenix, AZ

Active since January 18, 2019
15215 SOUTH 48TH STREET, SUITE 110, PHOENIX, AZ 85044(480) 783-8964(480) 783-8967 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dwayne St. Jacques Md Pllc NPPES

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

DWAYNE ST. JACQUES MD PLLC (NPI 1902370349), doing business as Azkidsdoc Pediatrics, is a healthcare organization registered as an adolescent medicine in Phoenix, Arizona and active in the NPI registry since January 2019. The organization lists Dwayne Michael St. Jacques, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1902370349
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameDWAYNE ST. JACQUES MD PLLC
Location Address15215 SOUTH 48TH STREET, SUITE 110Phoenix, AZ 85044-9375
Mailing Address15215 South 48th Street, Suite 110Phoenix, AZ 85044-9375 · (480) 783-8964 · Fax (480) 783-8967
Phone(480) 783-8964
Fax(480) 783-8967
Organization SubpartNo
Authorized OfficialDwayne Michael St. JacquesOwner/physician · (480) 783-8964
Enumeration DateJanuary 18, 2019
✔ NPI 1902370349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X
15215 SOUTH 48TH STREET, Phoenix, AZ 85044
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Other Names 1

Doing Business AsAzkidsdoc Pediatrics

Other Identifiers 1

Medicaid424052AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

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 MD PLLC's NPI number?

The NPI number for Dwayne St. Jacques MD PLLC is 1902370349. It was assigned to this organization in the NPPES registry on January 18, 2019. The provider is doing business as AZKidsDoc Pediatrics.

Where is Dwayne St. Jacques MD PLLC located?

Dwayne St. Jacques MD PLLC is located at 15215 South 48th Street Suite 110, Phoenix, AZ 85044. The listed phone number is (480) 783-8964.

What is Dwayne St. Jacques MD PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Dwayne St. Jacques MD PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Dwayne St. Jacques MD PLLC 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 MD PLLC was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.