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Johnathan Peterson is one of 716 physician assistants practicing in San Antonio, Texas .
Johnathan Peterson practices with The San Antonio Orthopaedic Group LLP.
Registry record (NPPES)
NPI
1568538742
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
204 E Fair Oaks Pl San Antonio, TX 78209-3811 (210) 315-4601
Enumerated
Nov 28, 2006
Record last updated
Feb 6, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
19138 US Hwy 281 N
San Antonio , TX 78258
(210) 804-5400
400 Concord Plaza Dr Suite 300
San Antonio , TX 78216
(210) 804-5400
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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