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

Ethan M Dymond, PA

Individual provider Medical Physician Assistant · NPI 1275270324

Ethan M Dymond, PA is a Medical Physician Assistant in Charlottesville, Virginia. Works from 3 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
Specialties on file
2
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

1215 Lee St
Charlottesville, VA 22908-4319
Phone: (434) 924-5428
Fax: (434) 243-0649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 — (215) 590-3083
  • 136 Crosskeys Way, Waynesboro, VA 22980-8900 — (571) 242-3988

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008580 (VA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1275270324
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 18, 2022
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

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