ASHLEY R JACOB (NPI# 1235597956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235597956 |
| Entity Type | Individual |
| Full Name | ASHLEY R JACOB |
| Credential | PA-C |
| Practice Address |
545 Barnhill Dr Suite 232 Indianapolis IN 46202-5112 |
| Practice Telephone | 3179443636 |
| Practice Fax Number | 3172788746 |
| Mailing Telephone | 3179443636 |
| Mailing Fax Number | 3172788746 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001903A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876354 | Ashley Mariam Jacob | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-06-17 |
| 1194168856 | Ashley M Jacob | Physician Assistant | 4461 Coit Rd, Suite 405, Frisco, TX 75035-0521 | 2013-04-12 |
| Street Address |
545 BARNHILL DR SUITE 232 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227455 | Indiana University Medical Center | General Acute Care Hospital | 545 Barnhill Dr, Emerson Hall Room 236, Indianapolis, IN 46202-5112 | 2005-06-30 |
| 1841811924 | Madeline Marie Blackwell | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-30 |
| 1588284897 | Joel Schroering | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-17 |
| 1245850494 | Daniel Benson | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-17 |
| 1669091112 | Jae Hyun Kwon | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-15 |
| 1265051023 | Hadeal Ayoub | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-13 |
| 1376162248 | Jasmine Dannielle Lee | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-10 |
| 1467071506 | Gerald Jiang Wu | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-09 |
| 1952920050 | Signe Marie Braafladt | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-09 |
| 1861011033 | Aaron Robert Anderson | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1912963620 | Kimberly D Hand | Physician Assistant | 8141 South Emerson Ave, Suite A, Indianapolis, IN 46237 | 2006-04-21 |
| 1447212162 | Jennifer S. Rothenberger | Physician Assistant | 8333 Naab Rd Ste 250, Indianapolis, IN 46260 | 2006-04-06 |
| 1235129909 | Megan Lynn Chojnacki | Physician Assistant | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2005-10-25 |
| 1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
| 1407495906 | Rachel C Ehrman | Physician Assistant | 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256-4640 | 2019-12-31 |
| 1922659226 | Taylor Ann Smith | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2019-09-27 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1093201048 | Brooke Michele Stein | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2018-07-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on ASHLEY R JACOB.
| 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.