Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander J Jacoby, PA-C

Individual provider Physician Assistant · NPI 1558813394

Alexander J Jacoby, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2025, 1 year ago. Practices with University of Kentucky, a 786-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

520 W 10th Ave
Columbus, OH 43210-1328
Phone: (614) 293-2101
Fax: (614) 293-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.010323RX (OH)

Record details

NPI number1558813394
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2016
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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