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

Individual provider Physician Assistant · NPI 1750861779

Jacob Wesley Roberts, PA-C is a Physician Assistant in Johnstown, Pennsylvania. Works from 3 locations. Licensed in Delaware and Pennsylvania.

Licensed in
DE, PA
In the registry since
2018
Specialties on file
2
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

411 Theatre Dr
Johnstown, PA 15904-2838
Phone: (814) 266-3934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 Banning St, Dover, DE 19904-3485 — (302) 734-1414
  • 300 E Plank Rd, Altoona, PA 16602-4154 — (814) 946-3801

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA061665 (PA)
Physician Assistant Taxonomy 363A00000X · Licence C5-0001235 (DE)

Record details

NPI number1750861779
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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