ETHAN SMITH PA-C
NPI 1689400772
Physician Assistant - Medical in Lebanon, PA
About Ethan Smith Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN SMITH PA-C (NPI 1689400772) is an individual medical provider in Lebanon, Pennsylvania and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Smith Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Smith's NPI number?
The NPI number for Ethan Smith is 1689400772. It was assigned to this individual provider in the NPPES registry on September 13, 2024.
Where is Ethan Smith located?
Ethan Smith practices at 252 S 4th St, Lebanon, PA 17042. The listed phone number is (717) 270-7500.
What is Ethan Smith's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Ethan Smith enrolled in Medicare?
Yes. Ethan Smith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ethan Smith was last updated on September 13, 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.
# Ethan Smith, PA-C · NPI 1689400772
Medical physician in Lebanon, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 13, 2024.
## Identity
- **NPI:** 1689400772 (Entity type: Individual)
- **Enumerated:** September 13, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 252 S 4TH ST, Lebanon, PA 17042-6111
- **Phone:** (717) 270-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689400772) · Data from the CMS NPPES public registry.