Active NPIIndividual provider

Robert T Jacob, PA-C

Physician Assistant in Bath, Maine

NPI Number1497105605
Practice location
108 Centre St Ste 200, Bath, ME 04530-2550
Fax
207-517-6915
Last updated
June 12, 2025

Robert T Jacob is a Physician Assistant based in Bath, ME. Robert T Jacob practices in Bath, ME and has the professional credentials of PA-C. The NPI Number for Robert T Jacob is 1497105605 and holds a License No. PA360 (ME). The current practice location address for Robert T Jacob is 108 Centre St Ste 200, Bath, ME 04530-2550 and can be reached out via phone at 207-386-1800 and via fax at 207-517-6915.

Provider Profile Details

NPI Number
1497105605
Provider Name
Robert T Jacob
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
108 Centre St Ste 200, Bath, ME 04530-2550
Phone Number
207-386-1800
Fax Number
207-517-6915
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 18, 2016
Last Update Date
June 12, 2025
Certification Date
June 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Centre St Ste 200
Bath, ME 04530-2550
City
Bath
State
Maine
Zip
04530-2550
Phone Number
207-386-1800
Fax Number
207-517-6915
Bath, ME 04530Get directions →

Provider Business Mailing Address Details

Address
108 Centre St Ste 200
Bath, ME 04530-2550
City
Bath
State
ME
Zip
04530-2550
Phone Number
207-386-1800
Fax Number
207-517-6915

License Information

License Number
PA360
License State
ME
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Robert T Jacob, PA-C?

The NPI number of Robert T Jacob, PA-C is 1497105605. It was assigned on June 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Robert T Jacob, PA-C?

Robert T Jacob, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA360.

Where does Robert T Jacob, PA-C practice?

The practice location is 108 Centre St Ste 200, Bath, ME 04530-2550. The office can be reached at 207-386-1800 (phone) or 207-517-6915 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497105605 directly on the NPPES registry website.

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