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

Prof. Jack A. Goble Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1366715625

Prof. Jack A. Goble Jr., PA-C is a Medical Physician Assistant in Lutherville, Maryland. Licensed in Maryland and Pennsylvania. Registered with an NPI since 2012.

Licensed in
MD, PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10755 Falls Rd Ste 160
Lutherville, MD 21093-4515
Phone: (410) 285-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0001029 (MD)
Physician Assistant Taxonomy 363A00000X · Licence MA002128L (PA)

Record details

NPI number1366715625
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2012
Last updated in NPPESMarch 5, 2013

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