Doctor profile · Federal record
Dr. Jacob Ethridge, PA
Physician Assistant · Physician Assistant · San Antonio, TX
- NPI 1104301852
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1150 N Loop 1604 W Ste 150
San Antonio, TX 782484505
(281) 783-8162
fax (713) 439-7995 - Additional location
-
10423 State Highway 151 Ste 101
San Antonio, TX 782514768
(210) 341-9614 - Additional location
-
5282 Medical Dr Ste 250
San Antonio, TX 782296039
(210) 341-9614 - Mailing address
-
2925 Briarpark Dr Ste 575
Houston, TX 770423776
Credentials & registration
- NPI registered
- September 2018 — 8 yrs on file
- Profile last updated
- June 29, 2022
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Texas #PA12348 · Texas #TEMPORARY
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104301852. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $17.02 |
By nature of payment
Frequently asked questions
What is Dr. Jacob Ethridge's medical specialty?
Dr. Jacob Ethridge practices Physician Assistant in San Antonio, TX.
Where does Dr. Jacob Ethridge practice?
Dr. Jacob Ethridge practices at 1150 N Loop 1604 W Ste 150, San Antonio, TX 782484505. Office phone: 2817838162.
What is Dr. Jacob Ethridge's NPI?
Dr. Jacob Ethridge's National Provider Identifier (NPI) is 1104301852, issued by NPPES.
Does Dr. Jacob Ethridge accept Medicare assignment?
Yes. Dr. Jacob Ethridge accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.