Dwayne St. Jacques MD PLLC
NPI 1902370349ActiveOrganization· Pediatrics, Adolescent Medicine· Phoenix, AZ
Pediatrics, Adolescent Medicine in Phoenix, Arizona, registered in NPPES in January 2019. The authorized official on file is Dwayne Michael St. Jacques, M.D., Owner/Physician.
Overview
| NPI | 1902370349 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2019 |
| Last updated in NPPES | Jan 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Adolescent Medicine Primary | 2080A0000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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