DR. JESSICA W FIVECOAT (NPI# 1568663466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568663466 |
| Entity Type | Individual |
| Full Name | DR. JESSICA W FIVECOAT |
| Credential | M.D. |
| Practice Address |
1475 Kisker Rd Suite 200 Saint Charles MO 63304-8781 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-8781 |
| Practice Telephone | 6364985870 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2009001287 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1475 KISKER RD SUITE 200 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63304-8781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238401 | Melanie Nicole Pilkenton | Physician Assistant | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2005-07-12 |
| 1487253662 | Lindsay Tyree | Physical Therapist | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2020-10-20 |
| 1144714023 | Cecelia Pratt | Registered Nurse | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2018-06-14 |
| 1558891747 | Katie Mocca | Physical Therapist | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2017-06-19 |
| 1801348339 | Lindsey Catherine Martin | Registered Nurse | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2016-11-01 |
| 1083168801 | Forefront Dermatology, S.c. | Dermatology | 1475 Kisker Rd, Suite 270, Saint Charles, MO 63304 | 2016-08-10 |
| 1528421260 | Ssm St. Charles Clinic Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 | 2016-03-31 |
| 1841663747 | Michelle L Wolynski | Nurse Practitioner | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 | 2015-11-02 |
| 1558733113 | Melissa Irvine | Nurse Practitioner | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2015-10-22 |
| 1558750364 | Jade Holman | Nurse Practitioner | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2015-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
| 1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
| 1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
| 1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
| 1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
| 1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
| 1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
| 1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
| 1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
| Find all providers in zip 63304 | ||||
| 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 |
|---|---|---|---|---|
| 1124229919 | Yelena Podorozhansky | Obstetrics & Gynecology | 3785 New Town Blvd, Saint Charles, MO 63301-4358 | 2007-05-30 |
| 1215940259 | Susan J W Acuna Md Sc | Obstetrics & Gynecology | 1400 Lincoln Hwy, Suite E, Saint Charles, IL 60174-3580 | 2006-08-14 |
| 1194786434 | Katherine M Dewey | Obstetrics & Gynecology | 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 | 2006-03-28 |
| 1437157740 | Randall G. Friesen | Obstetrics & Gynecology | 1301 Boones Lick Rd, Saint Charles, MO 63301-2463 | 2005-07-11 |
| 1427242148 | John A. Hamilton | Obstetrics & Gynecology | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2007-09-06 |
| 1801087481 | Radiant Women's Health, P.C. | Obstetrics & Gynecology | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2880 | 2007-08-07 |
| 1649334186 | Tlc Medical Group, S.c. | Obstetrics & Gynecology | 2455 Dean St, Suite A, Saint Charles, IL 60175-4830 | 2006-12-20 |
| 1316986508 | Valerie Kim Nelson-mason | Obstetrics & Gynecology | 330 1st Capitol Dr, Suite 340, Saint Charles, MO 63301-2835 | 2006-06-05 |
| 1487601761 | John B Hammons | Obstetrics & Gynecology | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-05-30 |
| 1992751770 | Chong K Park | Obstetrics & Gynecology | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-05-25 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63304 |
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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.