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

Jacob Taylor King

Individual provider Physician Assistant · NPI 1922835818

Jacob Taylor King is a Physician Assistant in Gaylord, Michigan. Qualified in 2025, 1 year ago. Practices with Munson Healthcare Otsego Memorial Hospital, a 123-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2024

Practice location Address checks out

829 N Center Ave Ste 140
Gaylord, MI 49735-1598
Phone: (989) 731-7860
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922835818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESMarch 14, 2026
Certification dateMarch 14, 2026
Mailing address829 N Center Ave Ste 140, Gaylord, MI 49735-1598

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Munson Healthcare Otsego Memorial Hospital — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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