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ETHAN COMPTON
NPI 1629823455
Student in an Organized Health Care Education/Training Program in Talihina, OK

Active since April 23, 2024PECOS Enrolled
1 CHOCTAW WAY, TALIHINA, OK 74571(918) 567-7000 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Compton NPPES

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

ETHAN COMPTON (NPI 1629823455) is an individual student in an organized health care education/training program in Talihina, Oklahoma and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629823455
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN COMPTON
Location Address1 CHOCTAW WAYTalihina, OK 74571-2022
Mailing Address8801 Meandering WayFort Smith, AR 72903-6329 · (303) 330-7230
Phone(918) 567-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1629823455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1 CHOCTAW WAY, Talihina, OK 74571
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Compton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072081470
PECOS Enrollment IDI20260505000154
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.

MR. RANDY LEE STEERS PHARM. D.
Pharmacist
1 CHOCTAW WAY
TALIHINA, OK 74571
Le Flore County (918) 567-7000
JAMES MONROE HALEY PHARM. D.
Pharmacist
1 CHOCTAW WAY
TALIHINA, OK 74571
Le Flore County (918) 567-7000
MRS. APRIL DAWN WHITACRE CNM
Advanced Practice Midwife
1 CHOCTAW WAY
TALIHINA, OK 74571
Le Flore County (918) 567-7000
MARCUS MUNROE GRIFFIN CRT
Respiratory Therapist, Certified
1 CHOCTAW WAY
TALIHINA, OK 74571
Le Flore County (918) 567-7000
KETRA BURNS
Registered Nurse (Infection Control)
1 CHOCTAW WAY
TALIHINA, OK 74571
Le Flore County (918) 567-7000
MANDY MARIE CALLAWAY PTA
Physical Therapy Assistant
1 CHOCTAW WAY
TALIHINA, OK 74571
Le Flore County (918) 567-7000
ALLISON ELAINE BURNS PA-C
Physician Assistant
1 CHOCTAW WAY
TALIHINA, OK 74571
Le Flore County (918) 567-7000
MISS ROBERTA I NEELY RPT
Specialist
1 CHOCTAW WAY
TALIHINA, OK 74571
Le Flore County (918) 423-8440

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 Compton's NPI number?

The NPI number for Ethan Compton is 1629823455. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Ethan Compton located?

Ethan Compton practices at 1 Choctaw Way, Talihina, OK 74571. The listed phone number is (918) 567-7000.

What is Ethan Compton'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 Compton enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ethan Compton was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.