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

Individual provider Physician Assistant · NPI 1285189381

Ethan Snider, PA-C is a Physician Assistant in Vienna, Virginia. Qualified in 2016, 10 years ago. Practices with Inova Ucc LLC, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

180 Maple Ave W
Vienna, VA 22180-5727
Phone: (571) 363-3539
Fax: (571) 363-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4801 Howard Ave, Beltsville, MD 20705-1950 — (301) 312-2792

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007078 (VA)

Record details

NPI number1285189381
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 18, 2016
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023
Mailing address4801 Howard Ave, Beltsville, MD 20705-1950

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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