Ethan William Peck
Ethan William Peck is a Physician Assistant in Nashville, Tennessee. Qualified in 2025, 1 year ago. Registered with an NPI since 2025.
- Years since qualifying
- 1
- In the registry since
- 2025
Practice location Address checks out
865 Bellevue Rd Apt J14Nashville, TN 37221-2774
Phone: (586) 531-0491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1912878455 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 17, 2025 |
| Last updated in NPPES | September 17, 2025 |
| Certification date | September 16, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Nashville
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Brandon Peffer
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Elissa Rainer Pelton, PA-C
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MS. Desiree Perillo, PA-C
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Danielle Xenia Perkins, PA-C
3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 · (615) 936-2000