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

Johnathan L. Peterson, PA-C

Individual provider Physician Assistant · NPI 1568538742

Johnathan L. Peterson, PA-C is a Physician Assistant in San Antonio, Texas. Qualified in 2006, 20 years ago. Practices with The San Antonio Orthopaedic Group LLP, a 140-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

204 E Fair Oaks Pl
San Antonio, TX 78209-3811
Phone: (210) 315-4601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA05099 (TX)

Record details

NPI number1568538742
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice The San Antonio Orthopaedic Group Llp — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Antonio