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

Ethan Marshall Windham, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174101406

Ethan Marshall Windham, MD is an Internal Medicine in Sarasota, Florida. Graduated from University of Florida College of Medicine in 2021, 5 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1921 Waldemere St Ste 405
Sarasota, FL 34239-2941
Phone: (941) 917-3500
Fax: (941) 917-3501
Show map & directions

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

Additional practice locations (1)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-3003 — (352) 265-8017

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME167713 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174101406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing addressPo Box 947407, Atlanta, GA 30394-7407

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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