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

Ethan Gillett, MD

Individual provider Pediatrics Physician · NPI 1629432745

Ethan Gillett, MD is an Emergency Medicine in Little Rock, Arkansas. Graduated from University of Arkansas College of Medicine in 2016, 10 years ago. Practices with Arkansas Childrens Professional Services Organization LLC, a 182-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Childrens Way # 512-16
Little Rock, AR 72202-3500
Phone: (501) 364-1874
Fax: (501) 364-3196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence E-12341 (AR)

Record details

NPI number1629432745
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Arkansas Childrens Professional Services Organization Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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