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JACOB W ROE DO
NPI 1982458642
Student in an Organized Health Care Education/Training Program in Canton, OH

Active since April 17, 2024PECOS Enrolled
2600 SIXTH ST SW, CANTON, OH 44710(330) 837-8391(330) 837-6782 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob W Roe Do NPPES

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

JACOB W ROE DO (NPI 1982458642) is an individual student in an organized health care education/training program in Canton, Ohio, licensed in Ohio (58.034193) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982458642
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB W ROECredential: DO
Location Address2600 SIXTH ST SWCanton, OH 44710-1702
Mailing Address2600 Sixth St SwCanton, OH 44710-1702 · (330) 837-8391 · Fax (330) 837-6782
Phone(330) 837-8391
Fax(330) 837-6782
Sole ProprietorYes
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1982458642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OH · 58.034193
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2600 SIXTH ST SW, Canton, OH 44710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob W Roe Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

CHELSEA FLIGHT CNP
Nurse Practitioner
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-0000
JAIME MARIE RENNECKER
Nurse Practitioner (Neonatal)
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-5433
JARELIZ CALDAS DIAZ MD
Student in an Organized Health Care Education/Training Program
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-6223
YARA KHOURI M.D.
Internal Medicine
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-6235
HEATHER BAKER AGACNP
Nurse Practitioner (Acute Care)
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 452-9911
SHELBY WESTHOEFER
Nurse Practitioner
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 452-9911
MR. KEVIN WHITE C.R.N.A.
Nurse Anesthetist, Certified Registered
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-7462
DR. DOUGLAS ALLEN WOOD DO
Emergency Medicine
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 456-2695

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 Roe's NPI number?

The NPI number for Jacob Roe is 1982458642. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Jacob Roe located?

Jacob Roe practices at 2600 Sixth St SW, Canton, OH 44710. The listed phone number is (330) 837-8391.

What is Jacob Roe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Roe enrolled in Medicare?

Yes. Jacob Roe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Roe was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.