Jacques Serge St.Julien, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35.041337 Issued in OH

Practice address

8401 Market St
Boardman, OH 44512-6725

Phone

(330) 729-4350

Fax

(330) 729-4351

NPI assigned

Nov 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1487637245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-4350",
            "fax_number": "330-729-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-4350",
            "fax_number": "330-729-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.JULIEN",
        "first_name": "JACQUES",
        "middle_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-26",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.041337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0358394",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidney Rebecca Spencer, DO
• Jenna E Speziale, CNP, FNP-BC
• Kyla Spies, LICDC
• Gloria L Spires, CRNA
• Brandon St Clair
• Alexis Camille Stanec
• Dimitri Stanley
• Sarah Stanley
• Anna Marie Stansbury, RN
• Joanne Marie Starkey, MFN, RDN, CSG, LD

• Obstetrics & Gynecology Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.