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

Mr. Ethan Klausmeyer, PA-C

Individual provider Physician Assistant · NPI 1174162481

Mr. Ethan Klausmeyer, PA-C is a Physician Assistant in Warwick, Rhode Island. Works from 3 locations. Licensed in Maryland and Rhode Island.

Licensed in
MD, RI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

17 Airport Rd
Warwick, RI 02889-1001
Phone: (401) 606-3110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 675 Paramount Dr Ste 301, Raynham, MA 02767-5416 — (401) 457-1500
  • 1 Kettle Point Ave, East Providence, RI 02914-5375 — (401) 457-1500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01425 (RI)
Physician Assistant Taxonomy 363A00000X · Licence C0009110 (MD)

Record details

NPI number1174162481
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Other providers in Warwick