Jacob Tyler Corbett (NPI# 1063916070, PAC ID# 6406101666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063916070 |
| PAC ID by PECOS | 6406101666 |
| Professional Enrollment ID | I20180612003047 |
| Full Name | Jacob Tyler Corbett |
| Organization Legal Name | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| Address |
2142 N Cove Blvd Toledo OH 43606-3895 |
| Phone Number | 4192914000 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981752938 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| 360259 | BAY PARK COMMUNITY HOSPITAL |
| 360090 | ST LUKE'S HOSPITAL |
| 230005 | EMMA L BIXBY MEDICAL CENTER |
| 360156 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2751 Bay Park Dr, Suite 305, Oregon, OH 43616-4922 | 4196907689 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| 2142 N Cove Blvd, Toledo, OH 43606-3895 | 4192914000 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| 2940 N Mccord Rd, Toledo, OH 43615-1753 | 4198423000 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| Organization Legal Name | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy P Phelan | Cardiovascular Disease (cardiology) | Promedica Northwest Ohio Cardiology Consultants LLC | 770 Riverside Ave, Suite 106, Adrian, MI 49221-1465 |
| Brenda L Drummond | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 2940 N Mccord Rd, Toledo, OH 43615-1753 |
| John L Schwartz | Cardiovascular Disease (cardiology) | Promedica Northwest Ohio Cardiology Consultants LLC | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Emily M Dusa | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 770 Riverside Ave, Suite 106, Adrian, MI 49221-1465 |
| Zachary Davidson | Physician Assistant | Promedica Northwest Ohio Cardiology Consultants LLC | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Shirley R Redfern | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Hazem Malas | Internal Medicine | Promedica Northwest Ohio Cardiology Consultants LLC | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Timothy L Ybarra | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 2940 N Mccord Rd, Toledo, OH 43615-1753 |
| Kristin M Wilhelmi | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 2940 N Mccord Rd, Toledo, OH 43615-1753 |
| James Smith | Interventional Cardiology | Promedica Northwest Ohio Cardiology Consultants LLC | 2940 N Mccord Rd, Toledo, OH 43615-1753 |
| Street Address |
2142 N COVE BLVD |
| City | TOLEDO |
| State | OH |
| Zip | 43606-3895 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Scribner | Certified Registered Nurse Anesthetist (crna) | Promedica Central Physicians LLC | 2142 N Cove Blvd, Toledo, OH 43606-3896 |
| Wei S Jueng | Anesthesiology | Promedica Central Physicians LLC | 2142 N Cove Blvd, Toledo, OH 43606-3896 |
| Kevin Long Nguyen | Emergency Medicine | Emergency Physicians of Northwest Ohio, Inc. | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Mary Patricia Pellioni | Internal Medicine | Promedica Central Physicians LLC | 2142 N Cove Blvd, Toledo, OH 43606-3896 |
| Jennifer Arps Johnson | Nurse Practitioner | Promedica Central Physicians LLC | 2142 N Cove Blvd, Toledo, OH 43606-3896 |
| Jay Hammerling | Anesthesiology | Promedica Central Physicians LLC | 2142 N Cove Blvd, Toledo, OH 43606-3896 |
| Benjamin Callahan | Certified Registered Nurse Anesthetist (crna) | Promedica Central Physicians LLC | 2142 N Cove Blvd, Toledo, OH 43606-3896 |
| Mark G Issa | Cardiovascular Disease (cardiology) | The Toledo Hospital | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| John L Schwartz | Cardiovascular Disease (cardiology) | Promedica Northwest Ohio Cardiology Consultants LLC | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Cindy M Kinsman | Certified Registered Nurse Anesthetist (crna) | Promedica Central Physicians LLC | 2142 N Cove Blvd, Toledo, OH 43606-3896 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Mccoy | Physician Assistant | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Natalie Walkup | Physician Assistant | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Patrick J Schafer | Anesthesiology | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Joseph W Dieringer | Physician Assistant | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Bridget M Jurkiewicz | Physician Assistant | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Daniel L Brow | Physician Assistant | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Abul Faiz Ahmed | Internal Medicine | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Anthony C Hamilton | Physician Assistant | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Michael L Kuehne | Physician Assistant | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Natalie L Talboo | Physician Assistant | Promedica Central Physicians LLC | 2901 N Reynolds Rd, Toledo, OH 43606 |
| Find all physicians in zip 43606 | |||
| City | TOLEDO |
| Zip Code | 43606 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TOLEDO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacob Tyler Corbett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.