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

Jacob Gordon

Individual provider Physician Assistant · NPI 1417568049

Jacob Gordon is a Physician Assistant in Washington, District of Columbia. Qualified in 2020, 6 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

900 23rd St NW
Washington, DC 20037-2342
Phone: (202) 715-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9520 Georgia Ave, Silver Spring, MD 20910-1436 — (301) 585-3136

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X · Licence C0007613 (MD)

Record details

NPI number1417568049
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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