Provider Demographics
NPI:1073514592
Name:JAMES-HALBERT, JADE DOMINIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:JADE
Middle Name:DOMINIQUE
Last Name:JAMES-HALBERT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8064-37-1005
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-454-8181
Mailing Address - Fax:314-747-1429
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:DIV OBGYN MFM / ULTRASOUND
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-454-8181
Practice Address - Fax:314-747-1429
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2022-01-03
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Provider Licenses
StateLicense IDTaxonomies
MO2002012304207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205825151Medicaid
MO205825136Medicaid
MO205825151Medicaid