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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285166835

Ethan Wasson, MD is an Anesthesiology in Milwaukee, Wisconsin. Graduated from Wayne State University School of Medicine in 2017, 9 years ago. Practices with Gastrointestinal Care of Long Island PLLC, a 169-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Trained at
Wayne State University School of Medicine
Licensed in
OH
In the registry since
2017
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

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 35.142321 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285166835
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Gastrointestinal Care Of Long Island Pllc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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