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

Dr. Ethan Wainblat, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750022323

Dr. Ethan Wainblat, DO is a Psychiatry in Lima, Ohio. Qualified in 2022, 4 years ago. Practices with Shoals Health Group LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Alabama and Ohio.

Years since qualifying
4
Licensed in
AL, OH
In the registry since
2022
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.

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Practice location Address checks out

730 W Market St
Lima, OH 45801-4602
Phone: (419) 227-3361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 3431 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1750022323
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address730 W Market St, Lima, OH 45801-4602

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Shoals Health Group Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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