Ethan Roth Stofferan
Ethan Roth Stofferan is a Physician Assistant in Dakota Dunes, South Dakota. Qualified in 2021, 5 years ago. Practices with Cnos PC, a 98-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2021
Practice location Address checks out
575 N Sioux Point RdDakota Dunes, SD 57049-5312
Phone: (605) 217-2667
Fax: (605) 217-2900
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|
Record details
| NPI number | 1508437559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 9, 2021 |
| Last updated in NPPES | July 9, 2021 |
| Certification date | July 9, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Cnos Pc — 98 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Dakota Dunes
-
Reed Barton McGill, PA
575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 · (605) 217-2667
-
Jessica A Prewitt-Emerson, PA-C
575 Sioux Point Rd, Dakota Dunes, SD 57049 · (605) 217-2667
-
Ashton Tyler Redstone, PA-C
575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 · (605) 217-2667
-
David Gunner St John, PA-C
575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 · (605) 217-2667
-
Brenda L Van Scoyk, PAC
705 Sioux Point Rd Ste 100, Dakota Dunes, SD 57049-5091 · (605) 217-5500
-
Cristin Renae Vander Weerdt, PA-C
575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 · (605) 217-2667