MS. MARY BETH JACOBSON PA-C
NPI 1700425154
Physician Assistant in Lakewood, OH

Active since January 02, 2020
2192 LEWIS DR, LAKEWOOD, OH 44107(216) 221-5182 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Beth Jacobson Pa-c NPPES

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

MS. MARY BETH JACOBSON PA-C (NPI 1700425154) is an individual physician assistant in Lakewood, Ohio and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1700425154
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARY BETH JACOBSONCredential: PA-C
Location Address2192 LEWIS DRLakewood, OH 44107-6141
Mailing Address2192 Lewis DrLakewood, OH 44107-6141 · (216) 224-4366
Sole ProprietorNo
Enumeration DateJanuary 2, 2020
NPI 1700425154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
2192 LEWIS DR, Lakewood, OH 44107

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 Mary Jacobson's NPI number?

The NPI number for Mary Jacobson is 1700425154. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Where is Mary Jacobson located?

Mary Jacobson practices at 2192 Lewis Dr, Lakewood, OH 44107. The listed phone number is (216) 221-5182.

What is Mary Jacobson'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 Mary Jacobson was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.