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

Jacob C Bolyard, DO

Individual provider Anesthesiology Physician · NPI 1891323341

Jacob C Bolyard, DO is an Anesthesiology in Cleveland, Ohio. Qualified in 2016, 10 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Cleveland Clinic 9500 Euclid AVENUE/JJ24
Cleveland, OH 44195-3328
Phone: (216) 444-2200
Show map & directions

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

Additional practice locations (1)

  • 25 N Winfield Rd, Winfield, IL 60190-1379 — (630) 933-6675

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 125076677 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 036161977 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1891323341
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address3262 Waverly Woods Ln, Howell, MI 48843-9587

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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