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

Ethan Gene Ormonde, PA

Individual provider Physician Assistant · NPI 1114637840

Ethan Gene Ormonde, PA is a Physician Assistant in Nellis AFB, Nevada. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114637840
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

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