Glen C Jacob, MD
Glen C Jacob, MD is a General Surgery in Whitehall, Pennsylvania. Qualified in 2002, 24 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in New Jersey, Pennsylvania, Texas and West Virginia.
- Years since qualifying
- 24
- Licensed in
- NJ, PA, TX, WV
- In the registry since
- 2008
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2363 Macarthur RdWhitehall, PA 18052-4523
Phone: (570) 808-1093
Fax: (570) 808-7878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery of the Hand (Surgery) Physician (primary) | Taxonomy 2086S0105X · Licence MD452555V (PA) |
|---|---|
| Surgery of the Hand (Surgery) Physician | Taxonomy 2086S0105X · Licence 25MA08617700 (NJ) |
| Surgery of the Hand (Surgery) Physician | Taxonomy 2086S0105X · Licence 24108 (WV) |
| Surgery Physician | Taxonomy 208600000X · Licence MD452555 (PA) |
| Surgery Physician | Taxonomy 208600000X · Licence N0127 (TX) |
Record details
| NPI number | 1295990976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 22, 2008 |
| Last updated in NPPES | February 27, 2026 |
| Certification date | February 27, 2026 |
| Mailing address | 2363 Macarthur Rd, Whitehall, PA 18052-4523 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Also practises | HAND SURGERY |
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | St Lukes Physician Group Inc — 2127 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 15 on file with Medicare |