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

Ethan Mardovin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427970243

Ethan Mardovin is a Student in an Organized Health Care Education/Training Program in Rootstown, Ohio. Licensed in Ohio. Registered with an NPI since 2026.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

4209 State Route 44
Rootstown, OH 44272-9698
Phone: (800) 686-2511
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OH)

Record details

NPI number1427970243
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 26, 2026
Mailing address4209 State Route 44, Rootstown, OH 44272-9698

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