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ETHAN WASH
NPI 1588192033
Speech-Language Pathologist in Goodyear, AZ

Active since May 30, 2017Accepts Medicare Assignment
2655 N PEBBLE CREEK PKWY, GOODYEAR, AZ 85395(602) 677-8992(602) 677-8992 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ethan Wash NPPES

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

ETHAN WASH (NPI 1588192033) is an individual speech-language pathologist provider in Goodyear, Arizona, licensed in Arizona (14069277) and active in the NPI registry since May 2017. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1588192033
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameETHAN WASH
Location Address2655 N PEBBLE CREEK PKWYGoodyear, AZ 85395-9051
Mailing Address9164 W Sandra TerPeoria, AZ 85382-3560
Phone(602) 677-8992
Fax(602) 677-8992
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 30, 2017
✔ NPI 1588192033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AZ · 14069277
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2655 N PEBBLE CREEK PKWY, Goodyear, AZ 85395
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Wash is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052689726
PECOS Enrollment IDI20170621002111

Medicare Billing Reassignment

Medicare enrollment records show Ethan Wash reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwestern University
17 mi
Multi-Specialty
19389 N 59TH AVE
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • 107 clinicians in this Medicare group
NPI 1932206414 (623) 537-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wash's NPI number?

The NPI number for Ethan Wash is 1588192033. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Ethan Wash located?

Ethan Wash practices at 2655 N Pebble Creek Pkwy, Goodyear, AZ 85395. The listed phone number is (602) 677-8992.

What is Ethan Wash's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Ethan Wash enrolled in Medicare?

Yes. Ethan Wash is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ethan Wash's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Wash reassigns Medicare benefits to Midwestern University (Glendale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Wash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Wash was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.