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

Jacob Andrew D'Antonio

Individual provider Surgical Physician Assistant · NPI 1164147328

Jacob Andrew D'Antonio is a Physician Assistant in Mars, Pennsylvania. Qualified in 2022, 4 years ago. Practices with UPMC Multispecialty Group Inc, a 57-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022

Practice location Address checks out

6998 Crider Rd Ste 110
Mars, PA 16046-2390
Phone: (866) 874-7483
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1164147328
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address241 Clearbrook Ct, Cranberry Township, PA 16066-5621

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Upmc Multispecialty Group Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mars