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

Dr. Ethan Pavlovsky, DO

Individual provider General Practice Physician · NPI 1407505233

Dr. Ethan Pavlovsky, DO is a General Practice in Plano, Texas. Qualified in 2024, 2 years ago. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2022
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3901 W 15th St
Plano, TX 75075-7738
Phone: (972) 396-4075
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence W4177 (TX)

Record details

NPI number1407505233
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2022
Last updated in NPPESMarch 8, 2026
Certification dateMarch 8, 2026
Mailing address3901 W 15th St, Plano, TX 75075-7738

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Plano