Ethan Fort
Ethan Fort is a Physician Assistant in Hays, Kansas. Qualified in 2022, 4 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
2220 Canterbury DrHays, KS 67601-2370
Phone: (855) 429-7633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|
Record details
| NPI number | 1588308571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 25, 2022 |
| Last updated in NPPES | April 25, 2022 |
| Certification date | April 25, 2022 |
| Mailing address | 4100 Millstone Cir, Hays, KS 67601-9797 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Mercy Clinic Springfield Communities — 1126 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Hays
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Kelly Francis, PA-C
2500 Canterbury Dr Ste 112, Hays, KS 67601-2258 · (785) 261-7599
-
Meganne Gourley, PA-C, ATC
2500 Canterbury Dr Ste 112, Hays, KS 67601-2258 · (785) 261-7599
-
Rebecca L Green, PA
2500 Canterbury Dr Ste 112, Hays, KS 67601-2247 · (785) 261-7599