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

Individual provider Physician Assistant · NPI 1982290656

Ethan Fadale, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2020, 6 years ago. Practices with Cardiology Consultants of Philadelphia PC, a 153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1809 W Oregon Ave Ste 100
Philadelphia, PA 19145-3700
Phone: (215) 389-3890
Fax: (215) 551-0368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA061845 (PA)

Record details

NPI number1982290656
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 17, 2020
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Cardiology Consultants Of Philadelphia Pc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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