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

Jessica Pathrose, DO

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1669095477

Jessica Pathrose, DO is a Pediatric Medicine in San Antonio, Texas. Qualified in 2020, 6 years ago. Works from 4 locations. Licensed in New York and Texas.

Years since qualifying
6
Licensed in
NY, TX
In the registry since
2020
Specialties on file
3
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

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone: (210) 704-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3055 Southwestern Blvd Ste 104, Orchard Park, NY 14127-1231 — (716) 636-5437
  • 1425 Portland Ave, Rochester, NY 14621-3011 — (585) 922-2000
  • 1800 Maple Rd Ste 100, Williamsville, NY 14221-2749 — (716) 636-5437

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence W4924 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence W4924 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 323640 (NY)

Record details

NPI number1669095477
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address315 N San Saba Ste 1135, San Antonio, TX 78207-3255

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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