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

Ethan Richard Manos, PA-C

Individual provider Physician Assistant · NPI 1366078206

Ethan Richard Manos, PA-C is a Physician Assistant in Woonsocket, Rhode Island. Qualified in 2020, 6 years ago. Practices with Milford Regional Physician Group, Inc, a 224-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

115 Cass Ave
Woonsocket, RI 02895-4705
Phone: (401) 769-4100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1 Lumber St Ste 101, Hopkinton, MA 01748-2364 — (508) 435-5936

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7744 (MA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1366078206
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 22, 2020
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Milford Regional Physician Group, Inc. — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Woonsocket