Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob Wayne Shipley, MD

Individual provider Anesthesiology Physician · NPI 1063643856

Dr. Jacob Wayne Shipley, MD is a Pain Management in Somerset, Pennsylvania. Graduated from Ohio State University College of Medicine in 2009, 17 years ago. Practices with Somerset Health Services Inc, a 44-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Pennsylvania.

Years since qualifying
17
Trained at
Ohio State University College of Medicine
Licensed in
OH, PA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

126 E Church St Ste 2400
Somerset, PA 15501
Phone: (814) 443-5800
Fax: (814) 443-5499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7067 Tiffany Blvd Ste 230, Youngstown, OH 44514 — (330) 758-2748
  • 7067 Tiffany Blvd Ste 230, Youngstown, OH 44514-1981 — (330) 758-2748
  • 7067 Tiffany Blvd Ste 230, Youngstown, OH 44514 — (330) 758-2748

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence MD450197 (PA)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD450197 (PA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 35.123054 (OH)

Record details

NPI number1063643856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2009
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address329 S Pleasant Ave, Somerset, PA 15501-2262

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Somerset Health Services Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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