1. Home
  2. Directory
  3. Maryland
  4. Lutherville
  5. Physician Assistant
  6. NPI Profile

PROF. JACK A. GOBLE JR. PA-C
NPI 1366715625
Physician Assistant - Medical in Lutherville, MD

Active since February 17, 2012
10755 FALLS RD, SUITE 160, LUTHERVILLE, MD 21093(410) 285-2777 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Jack A. Goble Jr. Pa-c NPPES

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

PROF. JACK A. GOBLE JR. PA-C (NPI 1366715625) is an individual medical provider in Lutherville, Maryland, licensed in Maryland (C0001029) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1366715625
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePROF. JACK A. GOBLE JR.Credential: PA-C
Location Address10755 FALLS RD, SUITE 160Lutherville, MD 21093-4515
Mailing Address100 Lee StStewartstown, PA 17363-4061 · (717) 578-6660
Phone(410) 285-2777
Sole ProprietorNo
Enumeration DateFebruary 17, 2012
Last NPPES UpdateMarch 5, 2013
✔ NPI 1366715625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0001029
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA002128L (PA)
10755 FALLS RD, Lutherville, MD 21093
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN945LMD
Medicare PIN149619MD

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.

MARIE DOMINIQUE ASHEN C.R.N.P.
Nurse Practitioner
10755 FALLS RD, PAVILION 1 SUITE 360
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 583-2740
MRS. JOANNE ELIZABETH DESMOND CRNP
Nurse Practitioner (Pediatrics)
10755 FALLS RD, SUITE 260
LUTHERVILLE, MD 21093
Baltimore County (410) 583-2955
DR. RAMEEN JAMES MOLAVI M.D.
Internal Medicine
10755 FALLS RD, SUITE 200
LUTHERVILLE, MD 21093
Baltimore County (410) 583-7112
DONALD SCHLOTT M.D.
Internal Medicine
10755 FALLS RD
LUTHERVILLE, MD 21093
Baltimore County (410) 583-2727
HOWARD ZACUR M.D.
Obstetrics & Gynecology
10755 FALLS RD
LUTHERVILLE, MD 21093
Baltimore County (410) 583-2888
EDWARD WALLACH M.D.
Obstetrics & Gynecology
10755 FALLS RD
LUTHERVILLE, MD 21093
Baltimore County (410) 583-2888
PAUL G AUWAERTER M.D.
Internal Medicine (Infectious Disease)
10755 FALLS RD
LUTHERVILLE, MD 21093
Baltimore County (410) 583-2727
DIANE CLAIRE PRESSMAN M.D.
Internal Medicine
10755 FALLS RD, SUITE 200
LUTHERVILLE, MD 21093
Baltimore County (410) 583-7114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Goble's NPI number?

The NPI number for Jack Goble is 1366715625. It was assigned to this individual provider in the NPPES registry on February 17, 2012.

Where is Jack Goble located?

Jack Goble practices at 10755 Falls Rd Suite 160, Lutherville, MD 21093. The listed phone number is (410) 285-2777.

What is Jack Goble's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jack Goble was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.