REBECCA JADWISIAK DO – NPI #1215674817
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

REBECCA JADWISIAK is a physician located in ARNOLD, MO. NPPES has assigned the NPI number 1215674817 to REBECCA JADWISIAK on May 16, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REBECCA JADWISIAK below.

NPI Profile for
REBECCA JADWISIAK

NPI Number
1215674817
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
REBECCA JADWISIAK
Credentials
DO
Primary location
3619 RICHARDSON SQUARE DR STE 170
ARNOLD, MO 63010-6014
Phone: (636) 717-6776 Fax:
1 Other location(s):
12680 Olive Blvd Ste 200
Saint Louis, MO 63141-6322
Phone: (314) 251-8888
Mailing address
PO BOX 776084
CHICAGO, IL 60677-6084
Phone: (636) 717-6776 Fax: (314) 525-4055
Sole Proprietor
Yes
Updated
Certification Date
Jul 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MO 2022022952

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE - Graduated 2022
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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