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DR. EDWARD WALTER PETTYJOHN M.D.
NPI 1801228630
Orthopaedic Surgery in San Antonio, TX

Active since August 03, 2013
9110 N LOOP 1604 W STE 104, SAN ANTONIO, TX 78249(210) 802-7007 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2025, Apr 3, 2024, Feb 16, 2022 and 5 more (8 updates tracked since 2019).

About Dr. Edward Walter Pettyjohn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD WALTER PETTYJOHN M.D. (NPI 1801228630) is an individual orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (S1430) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1801228630
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. EDWARD WALTER PETTYJOHNCredential: M.D.
Location Address9110 N LOOP 1604 W STE 104San Antonio, TX 78249-3397
Mailing Address15311 Escarpment OakHelotes, TX 78023-5155 · (770) 653-7413
Phone(210) 802-7007
Sole ProprietorYes
Enumeration DateAugust 3, 2013
Last NPPES UpdateMay 5, 20258 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1801228630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · S1430
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.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License S1430 (TX)
9110 N LOOP 1604 W STE 104, San Antonio, TX 78249
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Other Identifiers 1

Medicaid400888001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEANUT'S HOME HEALTHCARE
Home Health
9110 N LOOP 1604 W STE 104
SAN ANTONIO, TX 78249
Bexar County (210) 636-6789
KOSAKA MARTIN LCSW
Social Worker (Clinical)
9110 N LOOP 1604 W STE 104
SAN ANTONIO, TX 78249
Bexar County (210) 201-1235
ASHLEY ZAMBOANGA LPC-A, CSC, MED
Counselor (Mental Health)
9110 N LOOP 1604 W STE 104
SAN ANTONIO, TX 78249
Bexar County (916) 234-6323
EARLISHA WHITE
Home Health
9110 N LOOP 1604 W STE 104
SAN ANTONIO, TX 78249
Bexar County (210) 636-6789
KYNDAL HOEPKEN MS, LPC, CATP
Counselor (Professional)
9110 N LOOP 1604 W STE 104
SAN ANTONIO, TX 78249
Bexar County (210) 370-7310
YVRONDA THOMPSON LPC
Counselor (Professional)
9110 N LOOP 1604 W STE 104
SAN ANTONIO, TX 78249
Bexar County (210) 816-3701
ELEVATE WELLNESS - DIRECT PRIMARY CARE, PLLC
Family Medicine
9110 N LOOP 1604 W STE 104
SAN ANTONIO, TX 78249
Bexar County (830) 224-2420
KHALILAH DOUGLAS
Day Training/Habilitation Specialist
9110 N LOOP 1604 W STE 104
SAN ANTONIO, TX 78249
Bexar County (210) 396-8472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Pettyjohn's NPI number?

The NPI number for Edward Pettyjohn is 1801228630. It was assigned to this individual provider in the NPPES registry on August 3, 2013.

Where is Edward Pettyjohn located?

Edward Pettyjohn practices at 9110 N Loop 1604 W Ste 104, San Antonio, TX 78249. The listed phone number is (210) 802-7007.

What is Edward Pettyjohn's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Edward Pettyjohn accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Edward Pettyjohn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Pettyjohn was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.