We are invested in your health and wellness. This is no ordinary doctor’s office. Rather than doing things the typical way, we’ve created a primary and dermatology care practice truly designed around your needs. We make it faster, easier, and more enjoyable to get care — when you need it.

Dr. Josh Gast

Internal Medicine

Practicing medicine since 2014, Dr. Josh Gast has a Bachelor of Science from Southeast Missouri State University. He attended medical school at A.T. Still University's College of Osteopathic Medicine in Kirksville, Missouri. During his residency, he was the Chief Resident of Internal Medicine. Dr. Gast is married to his wonderful wife, Jennifer. They have three children: Austin, Caleb, and Laurel.

Dr. Lawrence Feigenbaum


Dr. Feigenbaum is a board-certified dermatologist and hair transplant surgeon who is excited to provide medical, surgical, cosmetic, and hair dermatology services to Cape Girardeau and nearby communities. Dr. Feigenbaum grew up in St. Louis, Missouri and attended the University of Missouri where he graduated Summa Cum Laude with Highest Honors and Phi Beta Kappa distinction. He then went on to the University of Missouri School of Medicine where he continued to excel, graduating in the top of his class and being inducted into the prestigious Alpha Omega Alpha Society, the only national honor medical society in the world. He completed his residency training at Parkland Hospital/University of Texas-Southwestern in Dallas, Texas one of the top dermatology training programs in the country. During his senior year, he served as overall chief resident, scored in the 100th percentile on the national dermatology examination, and was awarded the Humanism & Professionalism Award as well as the Cognitive Excellence Award by faculty and peers. Dr. Feigenbaum is committed to providing compassionate, patient-centered dermatologic care through communication and education. He has published numerous research articles, serves as an editorial reviewer and associate editor for the dermatology journal Dermatitis, is a contributing author of dermatology board examination preparatory questions for the AAD, and holds membership in the American Academy of Dermatology, the American Society of Dermatologic Surgeons, the Missouri Dermatologic Society, and the St. Louis Dermatologic Society. When he is not taking care of patients, Dr. Feigenbaum enjoys spending time with those he loves most – his fiancé, family, close friends, and two dogs. He also enjoys watching Cardinals baseball, attending Mizzou basketball and football games, music production, exploring new restaurants and traveling.

Dr. Ramiro Icaza

Family Practice

Practicing medicine since 1984, Dr. Ramiro Icaza has a Bachelor of Science from Arkansas State University and a Masters of Science from Southeast Missouri State University. He attended medical school at Autonomy University in Guadalajara, Mexico. Dr. Icaza's residency was at Deaconess Hospital in Saint Louis as an internship, followed by a residency at Erlanger Medical Center in Chattanooga, Tennessee (Family Medicine Residence). He was the Chief Resident of Family Practice at Erlanger Medical Center in 1984. Dr. Icaza has served on the Diplomatic American Board of Family Practice (2016), was Assistant Professor at A.T. Still University from 2009-2010, received America's Top Doctor Award in 2007-2008, and appointed the Jackson Chamber of Commerce Unsung Hero Award in 2004. He is happily married to his wife, Dianne, with four children: Jennifer, Patrick, Chrissie, and Leigh Anne.

Dr. James Hoffman


Dr. Hoffman earned his Bachelor of Science in Biology from Elizabethtown College in 1971. Dr. Hoffman served as the Doctor of Osteopathic Medicine at the Philadelphia College of Osteopathic Medicine in 1975. He completed an internship at Memorial Hospital in York, Pennsylvania, in 1976. He was a General Medical Officer at Fort Hood, Texas, from 1976-1978 and served his Pediatric Residency at Scott and White Hospital Texas A&M School of Medicine in Temple, Texas, from 1978-1981. Dr. Hoffman then spent the next 35 years in private practice as a pediatrician in Cape Girardeau, Missouri. He has been married to his wife, Linda, for more than 50 years. They have two children and five grandchildren. His interests include gardening, travel, and medical missions.