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ETHAN CONROY PAC
NPI 1023089547
Physician Assistant - Surgical in Saint Paul, MN

Active since February 01, 2006
17 EXCHANGE ST W, SUITE 222, SAINT PAUL, MN 55102(651) 224-7854 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Conroy Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN CONROY PAC (NPI 1023089547) is an individual surgical provider in Saint Paul, Minnesota, licensed in Minnesota (9849) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1023089547
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameETHAN CONROYCredential: PAC
Location Address17 EXCHANGE ST W, SUITE 222Saint Paul, MN 55102-1045
Mailing Address1516 Holton StSaint Paul, MN 55108-2326 · (651) 644-3119
Phone(651) 224-7854
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateOctober 30, 2014
✔ NPI 1023089547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 9849
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 9849 (MN)
17 EXCHANGE ST W, Saint Paul, MN 55102
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Other Identifiers 3

Medicare UPINQ17303MN
Medicare ID-Type Unspecified970001924MN
Medicaid923192700MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES DENNIS FOLEY M.D.
Specialist
17 EXCHANGE ST W, SUITE 804
SAINT PAUL, MN 55102
Ramsey County (651) 292-9624
MICHAEL J BOZIVICH MD
Internal Medicine
17 EXCHANGE ST W, SUITE 500
SAINT PAUL, MN 55102
Ramsey County (651) 232-4200
PETER DALY MD
Orthopaedic Surgery
17 EXCHANGE ST W, SUITE 307
SAINT PAUL, MN 55102
Ramsey County (651) 842-5200
MEDICAL ASSOCIATES OF MINNESOTA
Internal Medicine (Rheumatology)
17 EXCHANGE ST W, SUITE # 420
SAINT PAUL, MN 55102
Ramsey County (651) 232-4125
MEDICAL ASSOCIATES OF MINNESOTA
Internal Medicine
17 EXCHANGE ST W, SUITE # 602
SAINT PAUL, MN 55102
Ramsey County (651) 232-4311
ST ANTHONY ORTHOPAEDIC SPECIALISTS PA
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
17 EXCHANGE ST W, #222
SAINT PAUL, MN 55102
Ramsey County (651) 602-0101
WILLIAM G ARMSTRONG MD
Internal Medicine
17 EXCHANGE ST W, SUITE 835
SAINT PAUL, MN 55102
Ramsey County (651) 232-4200
JAMES D. FOLEY, M.D., P.A.
Clinic/Center
17 EXCHANGE ST W, SUITE 804
SAINT PAUL, MN 55102
Ramsey County (651) 292-9624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Conroy's NPI number?

The NPI number for Ethan Conroy is 1023089547. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Ethan Conroy located?

Ethan Conroy practices at 17 Exchange St W Suite 222, Saint Paul, MN 55102. The listed phone number is (651) 224-7854.

What is Ethan Conroy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Ethan Conroy was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.