Dr. Dwayne Michael St Jacques, MD
Dr. Dwayne Michael St Jacques is a Pediatrics Physician provider (Pediatrics) practicing in Phoenix, AZ, registered in the NPPES registry with NPI 1508830803 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508830803 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Dwayne Michael St Jacques |
| Credential | MD |
| Sex | Male |
| Practice address | 15215 S 48TH ST, SUITE 110, Phoenix, AZ, 85044 |
| Phone | 4807838964 |
| Fax | 4807838967 |
| Enumeration date | 2006-02-14 |
| Last updated in NPPES | 2019-01-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080A0000X | Pediatric Adolescent Medicine Physician | Secondary | 24143 | AZ |
| 208000000X | Pediatrics Physician | Primary | AZ24143 | AZ |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424052 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Dwayne St Jacques, MD NPI: 1508830803 Taxonomy: 208000000X (Pediatrics Physician) Address: 15215 S 48TH ST, SUITE 110, Phoenix, AZ, 85044
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578561270 | Mark Page | Individual | Optometrist | Phoenix, AZ |
| 1629064761 | Mark J. Page Od PC | Organization | Optometrist | Phoenix, AZ |
| 1487618013 | Camelback Imaging Holdings LLC | Organization | Diagnostic Radiology Physician | Phoenix, AZ |
| 1861434094 | Paul English | Individual | Dermatology Physician | Phoenix, AZ |
| 1609982693 | Paul E English MD Inc | Organization | Dermatology Physician | Phoenix, AZ |
| 1922116409 | Radiology Consultants Pllc | Organization | Diagnostic Radiology Physician | Phoenix, AZ |
| 1558470708 | Compudiagnostics Inc | Organization | Sonography Radiologic Technologist | Phoenix, AZ |
| 1376626028 | Richard Riehm | Individual | Endodontics | Phoenix, AZ |
Verify this record
Cross-check NPI 1508830803 against the authoritative CMS record: view Dr. Dwayne Michael St Jacques on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is this the official NPI registry?
What specialty is Dwayne St Jacques?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-01-22.