MR. STEVEN EUGENE JACOBS PA-C
NPI 1063599660
Physician Assistant - Medical in Bloomington, IN

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since November 01, 2006

600 N JORDAN AVE, BLOOMINGTON, IN 47405(812) 855-1272 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Steven Eugene Jacobs Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. STEVEN EUGENE JACOBS PA-C (NPI 1063599660) is an individual medical provider in Bloomington, Indiana, licensed in Indiana (10000243A) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1063599660

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. STEVEN EUGENE JACOBSCredential: PA-C

Location Address600 N JORDAN AVEBloomington, IN 47405-3190

Mailing Address7860 N Wexford CtBloomington, IN 47408-9339 · (812) 369-7921

Phone(812) 855-1272

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063599660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IN · 10000243A

600 N JORDAN AVE, Bloomington, IN 47405

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Other Identifiers 1

Medicare UPINS49634IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH CONRAD RUPP MD

Family Medicine