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

Ethan Charles Blocher-Smith, DO

Individual provider Family Medicine Physician · NPI 1922667765

Ethan Charles Blocher-Smith, DO is a Family Practice in Fishers, Indiana. Graduated from Marian University College of Osteopathic Medicine in 2019, 7 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
7
Trained at
Marian University College of Osteopathic Medicine
Licensed in
IN, MI
In the registry since
2019
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

11100 USA Pkwy Ste 1100
Fishers, IN 46037-9205
Phone: (317) 678-3850
Show map & directions

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

Additional practice locations (3)

  • 11530 Allisonville Rd Ste 190, Fishers, IN 46038-1862 — (317) 678-3850
  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (888) 484-3258
  • 3443 Farr Rd, Fruitport, MI 49415-8779 — (231) 672-2900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02006717A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5151013948 (MI)

Record details

NPI number1922667765
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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