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

Jacob Michael Douglas, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659211688

Jacob Michael Douglas, MD is a Student in an Organized Health Care Education/Training Program in Danville, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026
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

100 N Academy Ave
Danville, PA 17822-9800
Phone: (570) 271-6593
Fax: (570) 214-8083
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659211688
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address100 N Academy Ave, Danville, PA 17822-9800

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