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

Jamie L. Puckett, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1164420477

Jamie L. Puckett, MD is an Obstetrics/Gynecology in O Fallon, Missouri. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1995, 31 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
31
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MO
In the registry since
2005
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

1101 Highway K
O Fallon, MO 63366-8431
Phone: (636) 379-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303-2106 — (636) 379-6363

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 108740 (MO)

Record details

NPI number1164420477
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1995 (31 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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