JACOB E MEFFORD PA
NPI 1689923013
Physician Assistant in Peoria, IL

Active since August 30, 2012
221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-5522 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob E Mefford Pa NPPES

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

JACOB E MEFFORD PA (NPI 1689923013) is an individual physician assistant in Peoria, Illinois, licensed in Illinois (085004403) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1689923013
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB E MEFFORDCredential: PA
Location Address221 NE GLEN OAK AVEPeoria, IL 61636-0001
Mailing AddressDept 960347Oklahoma City, OK 73196-0347 · (800) 684-0062 · Fax (405) 844-1794
Sole ProprietorNo
Enumeration DateAugust 30, 2012
Last NPPES UpdateJanuary 30, 2013
NPI 1689923013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085004403
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
221 NE GLEN OAK AVE, Peoria, IL 61636

Other Identifiers 2

Medicare PINIL5306015IL
Medicare PIN210426017IL

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.

Student in an Organized Health Care Education/Training Program
221 NE GLEN OAK AVE
PEORIA, IL 61636
Internal Medicine
221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Nurse Anesthetist, Certified Registered
221 NE GLEN OAK AVE
PEORIA, IL 61636
Internal Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61636
Nurse Practitioner (Acute Care)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Anesthesiology
221 NE GLEN OAK AVE
PEORIA, IL 61636
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
PEORIA, IL 61636

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 Jacob Mefford's NPI number?

The NPI number for Jacob Mefford is 1689923013. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Jacob Mefford located?

Jacob Mefford practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 672-5522.

What is Jacob Mefford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jacob Mefford was last updated on January 30, 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.