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Mr. Ethan Edward Smith

PA-C

Physician Assistant

NPI: 1073215984Spooner, Wisconsin, 54801(715) 635-2151Male
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About Mr. Ethan Edward Smith

Mr. Ethan Edward Smith, PA-C, is a male healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1073215984. Mr. Ethan Edward Smith received his medical education at OTHER, graduating in 2024.

Their primary practice is located at 1180 CHANDLER DR, Spooner, Wisconsin 54801. Patients can reach the office at (715) 635-2151. In addition to the primary location, Mr. Ethan Edward Smith maintains 2 additional practice locations.

Mr. Ethan Edward Smith is affiliated with 3 hospitals in the area. Mr. Ethan Edward Smith is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Mr. Ethan Edward Smith has been NPI-registered since 2023.

Key Metrics

Practice Locations

3

Affiliated Hospitals

3

Doctor Details

Identity & Credentials

NPI Number
1073215984
Entity Type
Individual
First Name
Ethan
Last Name
Smith
Credential
PA-C
Gender
Male
Medical School
OTHER
Graduation Year
2024
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1180 CHANDLER DR
City
Spooner
State
Wisconsin
ZIP
54801-2204
Country
United States
Phone
(715) 635-2151

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
400 E 3RD ST
City
DULUTH
State
MN
ZIP
558051951

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Mr. Ethan Edward Smith's NPI number?
Mr. Ethan Edward Smith's National Provider Identifier (NPI) is 1073215984. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Ethan Edward Smith specialize in?
Mr. Ethan Edward Smith specializes in Physician Assistant. They received their medical education at OTHER (class of 2024).
Where is Mr. Ethan Edward Smith located?
Mr. Ethan Edward Smith practices at 1180 CHANDLER DR, Spooner, Wisconsin 54801. You can reach them by phone at (715) 635-2151. They also have 2 additional practice locations.
Does Mr. Ethan Edward Smith accept Medicare?
Yes, Mr. Ethan Edward Smith is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Mr. Ethan Edward Smith offer telehealth or virtual visits?
Mr. Ethan Edward Smith does not currently offer telehealth services. In-person visits are required at their practice location.
Can Mr. Ethan Edward Smith prescribe medications?
Yes, Mr. Ethan Edward Smith is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Ethan Edward Smith is 1073215984.