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

Ethan Lewis

Individual provider Physician Assistant · NPI 1992448856

Ethan Lewis is a Physician Assistant in Canton, Ohio. Qualified in 2023, 3 years ago. Practices with Radiology Associates of Canton Inc, a 35-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2022

Practice location Address checks out

2600 6th St SW
Canton, OH 44710-1702
Phone: (330) 452-9911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008453RX (OH)

Record details

NPI number1992448856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing addressPo Box 80690, Canton, OH 44708-0690

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Radiology Associates Of Canton Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Canton