Mr. Ethan Edward Smith, PA-C
Mr. Ethan Edward Smith, PA-C is a Physician Assistant in Spooner, Wisconsin. Qualified in 2024, 2 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 2
- Licensed in
- WI
- In the registry since
- 2023
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1180 Chandler DrSpooner, WI 54801-2204
Phone: (715) 635-2151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 8040 (WI) |
|---|
Record details
| NPI number | 1073215984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 22, 2023 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | September 11, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Spooner
-
Robert Peterson, PA-C
707 Ash St, Spooner, WI 54801 · (715) 635-2151