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

Ethan Everlith

Individual provider Surgical Physician Assistant · NPI 1003391434

Ethan Everlith is a Physician Assistant in Gilbert, Arizona. Qualified in 2018, 8 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2940 E Banner Gateway Dr Ste 200
Gilbert, AZ 85234-2171
Phone: (480) 964-2908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 485 S Dobson Rd Ste 101, Chandler, AZ 85224-5603 — (480) 728-4981
  • 525 S Chandler Village Dr, Chandler, AZ 85226-5152 — (480) 964-2908
  • 1675 E Melrose St Ste 101-103, Gilbert, AZ 85297-1001 — (602) 648-5444

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7291 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 7291 (AZ)

Record details

NPI number1003391434
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing addressPo Box 80217, Phoenix, AZ 85060-0217

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Gilbert