BETHANY NOELLE JACOBS (NPI# 1790294288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790294288 |
| Entity Type | Individual |
| Full Name | BETHANY NOELLE JACOBS |
| Credential | PA-C |
| Practice Address |
2112 Harrisburg Pike Lancaster PA 17601-2644 |
| Mailing Address |
2112 Harrisburg Pike Ste 3 Lancaster PA 17601-2644 |
| Practice Telephone | 7174313000 |
| Mailing Telephone | 7174313000 |
| Mailing Fax Number | 7174313010 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA059393 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851702419 | Bethany Jacobs | Counselor | 43 Tioga Drive, Howell, NJ 07731 | 2014-05-16 |
| 1497034466 | Bethany Jacobs | Student in an Organized Health Care Education/Training Program | 9702 Stonestreet Rd, Ste. 110, Louisville, KY 40272-6808 | 2011-08-09 |
| Street Address |
2112 HARRISBURG PIKE |
| City | LANCASTER |
| State | PA |
| Zip Code | 17601-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831260 | David M. Weston | Internal Medicine | 2112 Harrisburg Pike, Ste 202, Lancaster, PA 17601-2644 | 2005-06-16 |
| 1124559679 | Midatlantic Endoscopy LLC | Clinic/Center | 2112 Harrisburg Pike, Suite 323, Lancaster, PA 17601-2644 | 2017-03-27 |
| 1598216053 | Christopher Trace Rohrer | Physical Therapist | 2112 Harrisburg Pike, Ste 321, Lancaster, PA 17601-2644 | 2016-10-20 |
| 1336692680 | Donna Mongeau | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-08-03 |
| 1578913695 | Jennifer Swope | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-06-20 |
| 1932555265 | Jessica S May | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-05-05 |
| 1417302928 | Megan Waltman | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-05-03 |
| 1679939797 | Andra Riela Marosok | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-01-05 |
| 1619332756 | Sheila Dyer | Nurse Practitioner | 2112 Harrisburg Pike, Lancaster, PA 17601-2644 | 2015-12-16 |
| 1891166427 | Carly Albright Keller | Nurse Practitioner | 2112 Harrisburg Pike, Lancaster, PA 17601-2644 | 2015-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
| 1487285508 | United Disabilities Services Foundation | Contractor | 2270 Erin Ct, Lancaster, PA 17601 | 2020-01-28 |
| 1699311522 | Meals On Wheels, Inc | Home Delivered Meals | 1085-b Manheim Pike, Lancaster, PA 17601 | 2019-11-26 |
| 1245711555 | Molly Cates Casey | Nurse Practitioner | 190 N Pointe Blvd Ste 1, Lancaster, PA 17601 | 2018-08-24 |
| 1588142293 | Wegmans Food Markets, Inc. | Pharmacy | 2000 Crossings Blvd, Lancaster, PA 17601 | 2018-08-03 |
| 1942791918 | Linda J Arnold | Registered Nurse | 2645 Valley View Dr, Lancaster, PA 17601 | 2018-05-24 |
| 1003311598 | Nicole Marie Adams | Social Worker | 255 Butler Avenue, Suite 103, Lancaster, PA 17601 | 2018-03-27 |
| 1013418912 | Pinnacle Health Medical Services | Clinic/Center | 1160 Manheim Pike Ste 101, Lancaster, PA 17601 | 2018-02-26 |
| 1962911750 | Keystone Functional Medicine, PC | General Practice | 1689 Crown Ave Ste 5, Lancaster, PA 17601 | 2017-09-25 |
| 1427573302 | Ellen Hoffman | Massage Therapist | 2108 Harrisburg Pike Ste 315, Lancaster, PA 17601 | 2017-08-11 |
| Find all providers in zip 17601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223022 | Shelly J Kasik | Physician Assistant | 1629 Cloverdale Dr, Lancaster, OH 43130-8109 | 2020-04-08 |
| 1043843550 | Caitlin Lee Evans | Physician Assistant | 618 Pleasantville Rd Ste 202, Lancaster, OH 43130-3346 | 2020-02-13 |
| 1932745999 | Laurice Dominick Ingram | Physician Assistant | 838 W Meeting St Ste H, Lancaster, SC 29720-6261 | 2019-11-25 |
| 1831731629 | Jenna Elizabeth Stover | Physician Assistant | 930 Red Rose Ct Ste 301, Lancaster, PA 17601-1981 | 2019-10-13 |
| 1750939021 | Kayla Nicole Smith | Physician Assistant | 838 W Meeting St Bldg 5, Lancaster, SC 29720-6233 | 2019-08-29 |
| 1548725666 | Simarjeet Singh Manocha | Physician Assistant | 44215 15th St W Ste 315, Lancaster, CA 93534-5505 | 2019-02-02 |
| 1134503782 | Lien B Trinh | Physician Assistant | 2600 W Pleasant Run Rd Ste 340, Lancaster, TX 75146-1114 | 2015-07-14 |
| 1821470659 | Emily Ann Norris | Physician Assistant | 1625 Oregon Pike Ste 102, Lancaster, PA 17601-4335 | 2015-06-29 |
| 1699171843 | Shanna Rutty Beyah | Physician Assistant | 44451 16th St W, Suite #101, Lancaster, CA 93534-2882 | 2014-11-17 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.