ETHAN SEARLES


Address: 91 Poplar Ave, Bronx, NY 10465-3943
Phone: 9144031021

ETHAN SEARLES (NPI# 1235532078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235532078
Entity Type Individual
Full Name ETHAN SEARLES
Credential PA
Practice Address 91 Poplar Ave
Bronx
NY 10465-3943
Practice Telephone 9144031021
Mailing Telephone 9144031021
Enumeration Date 2014-10-08
Last Update Date 2014-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
017942-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 91 POPLAR AVE
City BRONX
State NY
Zip Code 10465-3943

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1588934814 Melinda Jimenez Physician Assistant 2306 Walton Ave, Bronx, NY 10468-7102 2012-01-03
1194094300 Ayisha Munawar Physician Assistant 285 E 171st St, Bronx, NY 10457-8939 2011-12-16
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Competitor

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City BRONX
Zip Code 10465

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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