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

Jason T. Gaisford, PA-C

Individual provider Physician Assistant · NPI 1679909931

Jason T. Gaisford, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2013, 13 years ago. Practices with Racc Medical Associates LLC, a 20-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1721 Magnavox Way
Fort Wayne, IN 46804-1537
Phone: (260) 748-3651
Fax: (260) 748-3651
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (4)

  • 1314 E 7th St Ste 201, Auburn, IN 46706-2533 — (260) 748-3650
  • 6811 Lima Rd, Fort Wayne, IN 46818-1145 — (260) 748-3650
  • 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825 — (260) 748-3650
  • 2124 N Biomet Dr, Warsaw, IN 46582-7858 — (260) 748-3650

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001602A (IN)

Record details

NPI number1679909931
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2013
Last updated in NPPESAugust 23, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Racc Medical Associates Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Fort Wayne