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

Mr. Jacob Heidish, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1700696309

Mr. Jacob Heidish, PHYSICIANASSISTANT is a Physician Assistant in New Albany, Ohio. Qualified in 2024, 2 years ago. Practices with Beacon Orthopaedics and Sports Medicine Ltd, a 471-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2025

Practice location Address checks out

5040 Forest Dr Ste 300
New Albany, OH 43054-8166
Phone: (614) 890-6555
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50.009220RX (OH)

Record details

NPI number1700696309
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Beacon Orthopaedics And Sports Medicine Ltd — 471 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in New Albany