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Active NPI 1790081727 Individual Practitioner Female Practitioner

Shannon Michelle Jacoby , PA-C

Physician Assistant • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Shannon Jacoby, PA-C is a registered healthcare professional specializing in Physician Assistant in Tulsa, OK. Practice services are available at 6151 S YALE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6151 S Yale Ave
Suite 1305

Tulsa, OK 741361907

Telephone 9184949450
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1998

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Barry Berch , MD

Surgery - Pediatric Surgery

NPI 1124175013

Doctor of Medicine (M.D.)

Dr. Edward Ford , MD

Surgery - Pediatric Surgery

NPI 1134296577

Doctor of Medicine (M.D.)

Angela Wrobleski , PA-C

Physician Assistant - Surgical

NPI 1154373371

Physician Assistant (Certified)

Dr. Florence Lewis , MD

Surgery - Pediatric Surgery

NPI 1811903255

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2011

Registered at 6151 S YALE AVE, SUITE 1305, TULSA, OK 741361907 (Tel: 9184949450)

📍
Updated Business Mailing Address November 30, 2011

Registered at 6600 S YALE AVE, SUITE 1400, TULSA, OK 741363347 (Tel: 9184886001)

👤
Provider Name / Credentials Updated November 30, 2011

Recorded as SHANNON JACOBY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2011

Physician Assistant (License #1998 in OK)

🟢
Initial NPI Registration & Enumeration February 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790081727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2011
Last Update: November 30, 2011
Sole Proprietor: No

Mailing Address

6600 S Yale Ave, Suite 1400

Tulsa, OK 741363347

Phone: 9184886001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.