Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Fairchild, MD

Individual provider Internal Medicine Physician · NPI 1912014184

Dr. Jacqueline Fairchild, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 1995, 31 years ago. Practices with Aging Well Health Care, LLC, a 243-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
31
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11709 Old Ballas Rd Ste 101
Saint Louis, MO 63141-7029
Phone: (314) 993-1200
Fax: (314) 993-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2007022721 (MO)

Record details

NPI number1912014184
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Aging Well Health Care, Llc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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