MR. JOSEPH PATRICK JAKUBAITIS PA-C NPI 1972305514

NPI Information

  • NPI: 1972305514
  • Provider Name: MR. JOSEPH PATRICK JAKUBAITIS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 520 MARY ST STE 520
    EVANSVILLE, IN
    ZIP 47710
  • Phone: (812) 424-8231

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NPI Details

MR. Joseph Patrick Jakubaitis, PA-C is a medical physician assistant in Evansville, IN with 1 years of experience. MR. Joseph Patrick Jakubaitis, PA-C NPI is 1972305514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 MARY ST STE 520
EVANSVILLE, IN
ZIP 47710-682
Phone: (812) 424-8231

The NPI 1972305514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2025 and was last updated on 9/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical10004894AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17101079060MEDICAIDKENTUCKY
210004894AOTHERINDIANAIN STATE LICENSE
3300117808MEDICAIDINDIANA
41235873OTHERINDIANABOARD CERTIFICATION ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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