Individual provider · Type 1 NPI

Jacob William Fishbaugh, PA-C

Physician Assistant · Traverse City, MI

NPI number 1710554274 Active

Practice location

3537 W Front St Ste A
Traverse City, MI 49684-7942

Call (231) 935-0338 Map

Fax (231) 935-0569

Mailing address

1105 Sixth St
Traverse City, MI 49684-2386

Other practice locations

  • 334 Smith Ave, Thomasville, GA 31792-5533 · (574) 904-6141
  • 419 S Coral St, Kalkaska, MI 49646-2503 · (231) 258-7530
  • 829 N Center Ave Ste 210, Gaylord, MI 49735-1599 · (319) 350-3382
  • 224 Park Ave, Frankfort, MI 49635-9658 · (231) 935-0338
  • 1619 Anderson Rd, Petoskey, MI 49770-9256 · (231) 935-0338

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10434 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

10 other providers at this address

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About NPI 1710554274

Jacob William Fishbaugh, PA-C's National Provider Identifier is 1710554274, issued on Jun 4, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Traverse City, MI. The record was last updated on Aug 6, 2025.