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

Mr. Jacob Gregory Guth, PAC

Individual provider Physician Assistant · NPI 1134169774

Mr. Jacob Gregory Guth, PAC is a Physician Assistant in Stillwater, Minnesota. Qualified in 2006, 20 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
20
Licensed in
MN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1835 County Road C W Ste 150
Stillwater, MN 55082-5078
Phone: (651) 259-4501
Fax: (651) 430-1447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7373 France Ave S Ste 408, Edina, MN 55435-4549 — (651) 430-3800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 393 (MN)

Record details

NPI number1134169774
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Stillwater