Individual provider · Type 1 NPI
Jacob Heidish, PHYSICIAN ASSISTANT
Surgical Physician Assistant · New Albany, OH
NPI number
1700696309
Active
Practice location
5040 Forest Dr Ste 300
New Albany, OH 43054-8166
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 50.009220RX (OH) |
Surgical Physician Assistant: Definition to come...
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About NPI 1700696309
Jacob Heidish, PHYSICIAN ASSISTANT's National Provider Identifier is 1700696309, issued on Jan 7, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Albany, OH. The record was last updated on Feb 4, 2025.