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

Ethan Alexander Hiles

Individual provider Internal Medicine Physician · NPI 1275150971

Ethan Alexander Hiles is an Internal Medicine in Orange Park, Florida. Qualified in 2021, 5 years ago. Practices with Apogee Medical Group Ohio Inc, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 E Superior St, Chicago, IL 60611-4494 — (312) 503-8194

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 34.017166 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275150971
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address2265 Kraft Dr, Blacksburg, VA 24060-6360

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Apogee Medical Group Ohio Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orange Park