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

Individual provider Physician Assistant · NPI 1386992436

Jason M Doetch, PA-C is a Physician Assistant in Rockford, Illinois. Qualified in 2012, 14 years ago. Practices with Saint Anthony Medical Center, a 43-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
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

5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone: (815) 381-7436
Fax: (815) 381-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.004387 (IL)

Record details

NPI number1386992436
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2012
Last updated in NPPESJanuary 12, 2018
Mailing addressBox 78534, Milwaukee, WI 53278-8534

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Saint Anthony Medical Center — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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