Individual provider Active NPI

Jared Schultz, PA-C

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1881244663
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA12946 Issued in TX
Practice address
18626 Hardy Oak Blvd Ste 101
San Antonio, TX 78258-4218
Phone
(210) 878-4116
Fax
(210) 878-4113
NPI assigned
Sep 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA12946 TX Primary

Addresses

Primary practice location

18626 Hardy Oak Blvd Ste 101
San Antonio, TX 78258-4218

Mailing address

18626 Hardy Oak Blvd Ste 101
San Antonio, TX 78258-4218
Phone (210) 878-4116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12946TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Ortho, PLLC CurrentSince Nov 18, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

18626 Hardy Oak Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 878-4116

Interoperability endpoints

  • Direct secure messaging: jschultz12643@direct.uth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1881244663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584218",
            "telephone_number": "210-878-4116",
            "fax_number": "210-878-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584218",
            "telephone_number": "210-878-4116",
            "fax_number": "210-878-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JARED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA12946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.