DR. JACQUELINE ELISE PAYTON MD NPI 1750407714

NPI Information

  • NPI: 1750407714
  • Provider Name: DR. JACQUELINE ELISE PAYTON, MD
  • Classification: Pathology - 207ZP0105X
  • Specialization: Clinical Pathology/Laboratory Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4320 FOREST PARK AVE
    DIV PA LAB AND GENOMIC MED, STE 209
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (314) 362-5641

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NPI Details

DR. Jacqueline Elise Payton, MD is a clinical pathology/laboratory medicine pathology in Saint Louis, MO with 21 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Jacqueline Elise Payton, MD NPI is 1750407714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2004

The provider's business location address is:

4320 FOREST PARK AVE
DIV PA LAB AND GENOMIC MED, STE 209
SAINT LOUIS, MO
ZIP 63108-979
Phone: (314) 362-5641
Fax: (314) 362-0369

The NPI 1750407714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0105XPathologyClinical Pathology/Laboratory Medicine2008022583MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200118891MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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