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Jacob Daniel Ethridge, PA

NPI 1104301852ActiveIndividual· Physician Assistant· San Antonio, TX

Physician Assistant (PA) with Nluc PLLC, practicing in San Antonio, Texas. Enrolled in Medicare as practitioner - physician assistant. Abbott Laboratories was the largest of 2 companies reporting payments in 2025, $131.05 in all, mostly food and beverage.

Overview

NPI1104301852
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedSep 28, 2018
Last updated in NPPESJun 29, 2022
Certified by providerJun 29, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA12348TX
Physician Assistant363A00000XTEMPORARYTX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TX)

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$131.05 · 2 payments from 2 companies
  • 2024$17.02 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Abbott Laboratories$110.211
Pfizer Inc.$20.841

What the 2025 payments were for

  • Food and Beverage$131.05 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in San Antonio

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