Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MATHEW MOGG, PA-C
ActiveJACOB MATHEW MOGG, PA-C is a Physician Assistant healthcare provider located in GREENVILLE, Michigan. NPI 1134804487 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GREENVILLE, MI
Registration Details
- NPI Number
- 1134804487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2023 (2.9838679281316 yrs)
- Last Updated
- Apr 30, 2025
- License
-
5601012881 (MI)
Practice Information
- Address
-
1202 W OAK STGREENVILLE, MI, 488382155Browse MI providers · Browse ZIP 48838
- Phone
- 6167544685
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GREENVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. MANDY JOAN GERMAN | P.A.C | 1023014982 |
| SHANNON KATHLEEN O'KEEFE | PA | 1467499624 |
| JOHN W YOUNGE | PA | 1942220603 |
| SARA LYN KOENES | PA-C | 1508970468 |
| MR. MAURICE EUGENE FONGERS III | PA-C | 1790893014 |
| STEVEN GILLIS | PA | 1023127685 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.