Mr. Jacob Michael Dakota Redfox, PA-C
Mr. Jacob Michael Dakota Redfox, PA-C is a Physician Assistant in Waterville, Ohio. Qualified in 2019, 7 years ago. Practices with Columbus Radiology Corp, a 289-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.
- Years since qualifying
- 7
- Licensed in
- MI, OH
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
7610 Tournament DrWaterville, OH 43566-8702
Phone: (419) 704-6634
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 50.006018RX (OH) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 5601009468 (MI) |
Record details
| NPI number | 1770130858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 22, 2019 |
| Last updated in NPPES | August 16, 2022 |
| Certification date | August 16, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Columbus Radiology Corp — 289 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |