JAMIE L. PUCKETT (NPI# 1164420477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164420477 |
| Entity Type | Individual |
| Full Name | JAMIE L. PUCKETT |
| Credential | M.D. |
| Practice Address |
201 Bjc Saint Peters Dr Suite 100 Saint Peters MO 63376-3091 |
| Practice Telephone | 6369168200 |
| Practice Fax Number | 6369468533 |
| Mailing Telephone | 6369168200 |
| Mailing Fax Number | 6369468533 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2014-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 108740 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 204809008 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512029 | Jamie Puckett | Nurse Practitioner | 114 E Main St, Rock Hill, SC 29730-5194 | 2019-08-02 |
| Street Address |
201 BJC SAINT PETERS DR SUITE 100 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349609 | Kurt A Piening | Internal Medicine | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2005-07-11 |
| 1972059897 | Forefront Dermatology, S.c. | Dermatology | 201 Bjc Saint Peters Dr, Suite 101, Saint Peters, MO 63376 | 2016-08-31 |
| 1497101133 | Jennifer Hunn | Clinical Nurse Specialist | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3385 | 2016-05-12 |
| 1144656893 | Melinda Mcfadden | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2013-09-25 |
| 1952560260 | Dianna J. Ohlman | Nurse Practitioner | 201 Bjc Saint Peters Dr, Ste 200, Saint Peters, MO 63376-3385 | 2008-06-03 |
| 1821283193 | Jose Marino Parra | Emergency Medicine | 201 Bjc Saint Peters Dr, Ste. 200, Saint Peters, MO 63376-3385 | 2007-09-10 |
| 1033314976 | Kellie M Odonnell-stockton | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2007-06-20 |
| 1336344274 | Kimberly G Weiss | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2007-06-20 |
| 1639212335 | Ranjani P Ramanathan | Internal Medicine | 201 Bjc Saint Peters Dr, Ste 206, Saint Peters, MO 63376-3385 | 2007-02-14 |
| 1376644484 | Stanley Mathew | Internal Medicine | 201 Bjc Saint Peters Dr, Ste 200, Saint Peters, MO 63376-3385 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831379205 | Joseph Hill, Do., LLC | Obstetrics & Gynecology | 70 Jungermann Cir Ste 205, Saint Peters, MO 63376-1619 | 2007-11-13 |
| 1265542146 | Janet Matuszek | Obstetrics & Gynecology | 209 First Executive Ave, Saint Peters, MO 63376-1697 | 2006-08-30 |
| 1477077394 | Angela Marie Warner | Obstetrics & Gynecology | 209 First Executive Ave, Saint Peters, MO 63376-1697 | 2017-08-02 |
| 1225472178 | Megan Marie Mohrman | Obstetrics & Gynecology | 209 First Executive Ave, Saint Peters, MO 63376-1697 | 2013-04-22 |
| 1063643013 | The Fertility Partnership | Obstetrics & Gynecology | 5401 Veterans Memorial Pkwy, Suite 201, Saint Peters, MO 63376-1680 | 2009-08-06 |
| 1043403009 | Physician Groups Lc | Obstetrics & Gynecology | 70 Jungermann Cir, Suite 101, Saint Peters, MO 63376-1622 | 2007-08-23 |
| 1114133212 | Kirim Chang | Obstetrics & Gynecology | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2007-05-15 |
| 1093844185 | Womens Care Specialists, LLC | Obstetrics & Gynecology | 209 First Executive Ave, Suite 209, Saint Peters, MO 63376-1697 | 2007-03-05 |
| 1235243098 | L Mills Md LLC | Obstetrics & Gynecology | 70 Jungermann Cir, Suite 101, Saint Peters, MO 63376-1622 | 2006-08-18 |
| 1588662803 | Boonslick Medical Group Inc | Obstetrics & Gynecology | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2005-07-11 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.