Mr. Michael Blake Jacob
PA-C | Sports Medicine | 8+ years Exp
Medicare Enrolled 2855 Campus Dr, Plymouth
Minnesota, 55441-2649
763-577-7000 Maps & DirectionsMr. Michael Blake Jacob is a Plymouth, Minnesota based orthopedic surgeon with 8 years of experience in Sports Medicine. He completed his graduation from Other in 2017. He is also affiliated with hospitals like Abbott Northwestern Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Michael Blake Jacob is 12593 for Physician Assistant in Minnesota.
Mr. Michael Blake Jacob is trained in sports medicine which help to provide appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Complete Profile:
Mr. Michael Blake Jacob speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Sports Medicine |
| Credentials: | PA-C |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2855 Campus Dr, Plymouth,
Minnesota, 55441-2649 |
| Phone: | 763-577-7000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8022377647 |
| Enrollment ID: | I20180105000060 |
| NPI Number: | 1821502154 |
| NPI Enumeration Date: | 22 Nov, 2017 |
| NPI Last Update On: | 11 Mar, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael Blake Jacob are as mentioned below.
| License Number | Specialization | State | Status | |
| 12593 | Physician Assistant | Minnesota | Primary | |
| 12595 | Sports Medicine | Minnesota | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Abbott Northwestern Hospital (240057) | Minneapolis, MN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Michael Blake Jacob is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Allina Health System (4587573613) | 2758 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5600 Camerata Way Unit 221,
St Louis Park, Minnesota |
| Zip: | 55416-5285 |
| Phone Number: | 612-590-3809 |
| Fax Number: | -- |
Patients can reach Mr. Michael Blake Jacob at
2855 Campus Dr, Plymouth, Minnesota or can
call to book an appointment on 763-577-7000.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.