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

J K Van Etten

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1114421344

J K Van Etten is an Emergency Medicine in Cleveland, Ohio. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2018, 8 years ago. Practices with Emergency Medicine Associates PC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
WA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone: (216) 778-4486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 — (360) 514-2142

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence MD61136032 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114421344
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESDecember 21, 2021
Certification dateNovember 18, 2021
Mailing address3640 Ne Sitka Dr, Camas, WA 98607-7473

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Emergency Medicine Associates Pc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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