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

Ethan A Urbansky, PAC

Individual provider Physician Assistant · NPI 1457786139

Ethan A Urbansky, PAC is a Physician Assistant in Germantown, Maryland. Qualified in 2024, 2 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2013
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

20410 Century Blvd Medstar Nrh Rehab Network - #215
Germantown, MD 20874-1186
Phone: (301) 540-6130
Fax: (301) 540-5190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 74 Thomas Johnson Dr, Frederick, MD 21702-4501 — (301) 694-9033

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0010009 (MD)
Athletic Trainer Taxonomy 2255A2300X · Licence A0000250 (MD)

Record details

NPI number1457786139
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 12, 2013
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address74 Thomas Johnson Dr, Frederick, MD 21702-4501

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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