Individual provider · Type 1 NPI

Johnathan W. Peck, DMS, PA-C

Physician Assistant · Coweta, OK

NPI number 1144934589 Active

Practice location

607 S Broadway
Coweta, OK 74429-5000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9117435 (FL)
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000X4971 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1144934589

Johnathan W. Peck, DMS, PA-C's National Provider Identifier is 1144934589, issued on Jan 10, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coweta, OK. The record was last updated on Feb 12, 2026.