Dwayne St. Jacques MD PLLC
NPI 1902370349 · Pediatric Adolescent Medicine Physician · Phoenix, AZ
Dwayne St. Jacques MD PLLC is a Pediatric Adolescent Medicine Physician organization in Phoenix, AZ (NPI 1902370349).
Provider details
- NPI number
- 1902370349
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dwayne St. Jacques, Owner/Physician(480) 783-8964
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Azkidsdoc Pediatrics
Registry dates
- Enumerated
- 2019-01-18
- Last updated
- 2019-01-18
Frequently asked questions
- What is Dwayne St. Jacques MD PLLC's NPI number?
- Dwayne St. Jacques MD PLLC's National Provider Identifier (NPI) is 1902370349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dwayne St. Jacques MD PLLC?
- Dwayne St. Jacques MD PLLC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dwayne St. Jacques MD PLLC located?
- Dwayne St. Jacques MD PLLC's practice location on file with NPPES is 15215 South 48th Street, Phoenix, AZ 85044-9375.
- What is Dwayne St. Jacques MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dwayne St. Jacques MD PLLC is (480) 783-8964.
- Who is the authorized official for Dwayne St. Jacques MD PLLC?
- The authorized official listed on Dwayne St. Jacques MD PLLC's NPPES record is Dwayne St. Jacques, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dwayne St. Jacques MD PLLC's NPI active?
- Yes — Dwayne St. Jacques MD PLLC's NPI (1902370349) is active in the NPPES registry as of the last update on 2019-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.