Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack A Peterson, DO

Individual provider Family Medicine Physician · NPI 1790717163

Jack A Peterson, DO is a Family Practice in Cochranton, Pennsylvania. Practices with Primary Care Services, a 33-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

180 N Franklin St Ste B
Cochranton, PA 16314-9706
Phone: (814) 424-1126
Fax: (814) 251-1568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS008804L (PA)

Record details

NPI number1790717163
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing address1034 Grove St, Meadville, PA 16335-2945

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Group practice Primary Care Services — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cochranton