DR. EDWARD WALTER PETTYJOHN


Address: 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228
Phone: 2104959047

DR. EDWARD WALTER PETTYJOHN (NPI# 1801228630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801228630
Entity Type Individual
Full Name DR. EDWARD WALTER PETTYJOHN
Credential M.D.
Practice Address 18626 Hardy Oak Blvd Ste 300
San Antonio
TX 78258-4228
Practice Telephone 2104959047
Practice Fax Number 2102932772
Mailing Telephone 2104959047
Mailing Fax Number 2102932772
Enumeration Date 2013-08-03
Last Update Date 2020-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery S1430 TX Allopathic & Osteopathic Physicians
N 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
S1430 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 400888001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
18626 Hardy Oak Blvd Ste 300, San Antonio, TX 782584228 2104959047 2104959310
251 Cully Dr Ste A, Kerrville, TX 780286084 2104959047 2102932772

Office Location

Street Address 18626 HARDY OAK BLVD STE 300
City SAN ANTONIO
State TX
Zip Code 78258-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598764813 Gregg S Gurwitz Orthopaedic Surgery 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2005-07-19
1528557360 Jane Lawhon Simmons Counselor 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2018-05-08
1245753730 Annette Jo Gantz Nurse Practitioner 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2017-07-17
1518397322 South Texas Spinal Clinic, P.a. Durable Medical Equipment & Medical Supplies 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2013-11-14
1033445333 Jose E. Fuentez, Jr. Physician Assistant 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2009-10-22
1275732166 Ralph Zachary Garza Orthopaedic Surgery 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2007-07-12
1851302798 Timothy S Metcalf Physician Assistant 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2006-08-09
1679506653 South Texas Spinal Clinic, P.a. Orthopaedic Surgery 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2006-07-10
1497796643 Ajeya Padmakar Joshi Orthopaedic Surgery 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2006-06-09
1457329906 Joel W. Jenne Orthopaedic Surgery 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4228 2006-03-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356980163 Jeffrey M. Martinez, M.d., P.a. Surgery 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 2019-12-26
1588226211 New Life Brace and Limb, LLC Prosthetist 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 2019-07-02
1720649080 Miguel Ibarra Pharmacist 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 2019-06-26
1528538113 Kevin Scott Farnsworth Dentist 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 2018-11-27
1891262176 Dentists of Stone Oak, PC Dentist 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 2018-10-25
1003399437 Jesus Alcala Physical Therapist 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 2018-09-11
1184106544 Marissa Kaye Bruton Occupational Therapist 505 Madison Oak, San Antonio, TX 78258 2018-09-02
1508346933 Desiree Carroll Occupational Therapy Assistant 18803 Hardy Oak Drive, San Antonio, TX 78258 2018-08-15
1700376456 Conner Jay Mcnabb Optometrist 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 2018-05-17
1982191516 Freehand Solutions LLC Chiropractor Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 2018-04-19
Find all providers in zip 78258

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457998494 Texas Oaks Orthopaedic and Sports Medicine Institute, P.a. Orthopaedic Surgery 12103 Huebner Rd, San Antonio, TX 78230-5000 2019-12-10
1679031777 Nix Physicians Inc. Orthopaedic Surgery 414 Navarro St Ste 1128, San Antonio, TX 78205-2558 2019-03-07
1477028223 Schulze Orthopedics Orthopaedic Surgery 8715 Village Dr Ste 600, San Antonio, TX 78217-5407 2018-10-09
1265810725 Cody J Covington Orthopaedic Surgery 11212 Tx-hwy 151, Medical Plaza I, Suite 310, San Antonio, TX 78251 2015-05-15
1932516630 Orlando David Sabbag Daccarett Orthopaedic Surgery 19026 Ridgewood Pkwy Ste 311, San Antonio, TX 78259-5502 2014-07-15
1578980660 Chance Cameron Moore Orthopaedic Surgery 2833 Babcock Road, Tower II, Suite 435, San Antonio, TX 78229-3901 2014-03-26
1144664962 Raymond Evan Skunda Orthopaedic Surgery 6800 W Ih 10 Ste 250, San Antonio, TX 78201 2013-04-23
1851688758 Nicholas Edward Gerken Orthopaedic Surgery 1139 E Sonterra Blvd Ste 401, San Antonio, TX 78258-4987 2011-06-30
1316244023 Patrick M. Palmer, Md, Pa Orthopaedic Surgery 540 Madison Oak Drive, Suite 500, San Antonio, TX 78258 2011-02-15
1790080109 Roger J Lunke Md Pa Orthopaedic Surgery 540 Madison Oak Dr Ste 350, San Antonio, TX 78258-3921 2011-01-14
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Competitor

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City SAN ANTONIO
Zip Code 78258

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Dataset Information

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.

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