DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHNATHAN W PECK, DMS, PA-C

Active

Physician Assistant · COWETA, OK

Registration Details

NPI Number
1144934589
Provider Type
Individual
Gender
Male
NPI Issued
Jan 10, 2023 (3.2784298976899 yrs)
Last Updated
Feb 12, 2026
Licenses
PA9117435 (FL)
4971 (OK)

Practice Information

Address
607 S BROADWAY
COWETA, OK, 744295000
Browse OK providers · Browse ZIP 74429
Phone
9184865564
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in COWETA, OK

Name Credential NPI
SANDRA L LEWIS P.A. 1720010630
JEFFERY ALLEN BARENTINE PA-C 1104997436
BURLEENE MOSBURG P.A.-C 1265588024
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.