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

Individual provider Physician Assistant · NPI 1043054158

Jacob Mir, PA-C is a Physician Assistant in Liverpool, New York. Qualified in 2024, 2 years ago. Practices with Wellnow Urgent Care, PC, a 411-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7375 Oswego Rd
Liverpool, NY 13090-3717
Phone: (315) 291-0064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043054158
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 23, 2024
Mailing address2744 Hiltonwood Rd, Baldwinsville, NY 13027-8207

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wellnow Urgent Care, P.C. — 411 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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