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

Ethan P McMoran, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063973618

Ethan P McMoran, MD is an Interventional Radiology in Little Rock, Arkansas. Graduated from University of Arkansas College of Medicine in 2019, 7 years ago. Practices with CHI St Vincent Medical Group Hot Springs, a 183-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
7
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2019
Specialties on file
2
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

500 S University Ave Ste 101
Little Rock, AR 72205-5314
Phone: (501) 664-3914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence E-18922 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063973618
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Chi St Vincent Medical Group Hot Springs — 183 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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