JOHNATHAN L. PETERSON (NPI# 1568538742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568538742 |
| Entity Type | Individual |
| Full Name | JOHNATHAN L. PETERSON |
| Credential | PA-C |
| Practice Address |
21 Spurs Lane Suite 300 San Antonio TX 78240 |
| Practice Telephone | 2106998326 |
| Practice Fax Number | 2105617121 |
| Mailing Telephone | 2106998326 |
| Mailing Fax Number | 2105617121 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21 SPURS LANE SUITE 300 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289970 | Steven Jeffrey Cyr | Orthopaedic Surgery | 21 Spurs Lane, Suite 245, San Antonio, TX 78240 | 2006-01-10 |
| 1629368535 | Texas Ips LLC | Internal Medicine | 21 Spurs Lane, Ste 230b, San Antonio, TX 78240 | 2011-04-12 |
| 1356529598 | Ellen W Lin Md Pa | Physical Medicine & Rehabilitation | 21 Spurs Lane, Suite 240, San Antonio, TX 78240-1669 | 2008-02-08 |
| 1962527317 | Neuraxis Monitoring Group, Lp | Specialist | 21 Spurs Lane, Ste 100, San Antonio, TX 78240-1670 | 2007-03-21 |
| 1285781765 | Sports Medicine Associates of San Antonio, Pa | Orthopaedic Surgery | 21 Spurs Lane, Ste 340, San Antonio, TX 78240-1680 | 2007-01-05 |
| 1851403729 | David Wesley Person | Plastic Surgery | 21 Spurs Lane, 310, San Antonio, TX 78240-1679 | 2006-08-31 |
| 1164533246 | Ear Medical Group Pa | Audiologist | 21 Spurs Lane, Suite 100, San Antonio, TX 78240 | 2006-08-31 |
| 1548273501 | Ellen W Lin | Physical Medicine & Rehabilitation | 21 Spurs Lane, Suite 240, San Antonio, TX 78240-1669 | 2006-08-14 |
| 1407889264 | Orthopaedic & Spine Institute LLC | Family Medicine | 21 Spurs Lane, Suite 245, San Antonio, TX 78240 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1265989958 | Liz Ramirez-valencia | Physician Assistant | 12118 Ridge Court St, San Antonio, TX 78247-3402 | 2016-09-09 |
| 1831645399 | Carlos E Martin Colindres | Physician Assistant | 18211 Bulverde Rd Apt 13207, San Antonio, TX 78259-3720 | 2016-08-25 |
| 1093188559 | Padeniran Corp, Pllc | Physician Assistant | 2313 Lockhill Selma Rd # 158, San Antonio, TX 78230-3007 | 2015-11-05 |
| 1679944631 | Elite Surgical Associates of Sa | Physician Assistant | 20079 Stone Oak Pkwy Ste 1105-482, San Antonio, TX 78258-6942 | 2015-10-15 |
| 1679958680 | Lacey Lillian Aguero | Physician Assistant | 6407 Cougar Vlg, San Antonio, TX 78242 | 2015-07-21 |
| 1447635453 | Neuro Precision Assisting, Pllc | Physician Assistant | 5886 De Zavala Rd, Ste 102 #495, San Antonio, TX 78249-2269 | 2015-07-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
Please comment or provide details below to improve the information on JOHNATHAN L. PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.