Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan B Colliver, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1184803330

Dr. Ethan B Colliver, DO is a Physical Medicine and Rehabilitation in Princeton, West Virginia. Qualified in 2004, 22 years ago. Practices with Princeton Community Hospital Assn Inc, a 175-clinician group and accepts Medicare assignment. Licensed in Virginia and West Virginia.

Years since qualifying
22
Licensed in
VA, WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

122 12th St
Princeton, WV 24740-2312
Phone: (304) 425-7127
Fax: (304) 487-7235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 4641 (WV)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 0102202357 (VA)

Record details

NPI number1184803330
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 24, 2007
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address122 12th St, Princeton, WV 24740-2312

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Princeton Community Hospital Assn. Inc. — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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