DR. ETHAN LAND HIGHT MD
NPI 1396673588
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since May 11, 2026PECOS Enrolled
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ethan Land Hight Md NPPES

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

DR. ETHAN LAND HIGHT MD (NPI 1396673588) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396673588
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ETHAN LAND HIGHTCredential: MD
Location Address640 JACKSON STSaint Paul, MN 55101-2595
Mailing Address640 Jackson StSaint Paul, MN 55101-2595 · (651) 254-3456
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 10, 2026
NPI 1396673588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
640 JACKSON ST, Saint Paul, MN 55101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ethan Land Hight Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Hight's NPI number?

The NPI number for Ethan Hight is 1396673588. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Ethan Hight located?

Ethan Hight practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Ethan Hight's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Hight enrolled in Medicare?

Yes. Ethan Hight is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Hight was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.