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

MS. Mary Beth Jacobson, PA-C

Individual provider Medical Physician Assistant · NPI 1700425154

MS. Mary Beth Jacobson, PA-C is a Medical Physician Assistant in Lakewood, Ohio. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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 →

Practice location Address checks out

2192 Lewis Dr
Lakewood, OH 44107-6141
Phone: (216) 221-5182
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1700425154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 2, 2020
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020