David Morgan Peterson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03914 Issued in TX

Practice address

1395 Sattler Rd
Suite 6
Canyon Lake, TX 78132-2295

Phone

(830) 904-4311

Fax

(830) 885-5541

NPI assigned

Apr 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dimmit Regional Hospital

  • Critical Access Hospital
  • Carrizo Springs, TX
  • NPI 1326134255
  Medicare reassignment NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971

  TX

  Medicare reassignment NPD
• Dimmit Regional Hospital

  • Emergency Medicine Physician
  • Carrizo Springs, TX
  • NPI 1164774253
  Medicare reassignment
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teecnospos, AZ
  • NPI 1477615789
  NPD
• Dimmit Regional Hospital

  • Rural Health Clinic/Center
  • Crystal City, TX
  • NPI 1750901070
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1801859129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 HOSPITAL DR STE B",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343847",
            "telephone_number": "830-876-9458",
            "fax_number": "830-876-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 SATTLER RD",
            "address_2": "SUITE 6",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781322295",
            "telephone_number": "830-904-4311",
            "fax_number": "830-885-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAVID",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8N9127",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Michelle Passmore
• Anthony A.M. Pearson, MA, MED, LPC, NCC
• Lorena L Peaslee, NCC, LPC
• Pelvic Harmony Physical Therapy LLC
• Reanna Nicole Pena, LPC
• Physical Therapy Unlimited, P.C.
• Jo Bren Piranio, D.D.S.
• Elizabeth Louise Pohlmann, DDS
• Anne Marie Reynolds, LCSW
• Riverside Healthcare Partners Inc.

• Physician Assistant in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.