Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962938464 Individual Practitioner Male Practitioner

Ethan Dodge

Pediatrics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Ethan Dodge is a registered healthcare professional specializing in Pediatrics in Phoenix, AZ. Practice services are available at 500 W THOMAS RD STE 250 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 W Thomas Rd Ste 250

Phoenix, AZ 850134215

Telephone 6024063520
Fax 6024066162

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
440 Specialists

Practicing in Phoenix, AZ (1353 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 60154

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

1919 E Thomas Rd, Phoenix Children's Hospital

Phoenix, AZ 85016

Phone: 6025462923

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
NPI 1235871674

Doctor of Osteopathic Medicine (D.O.)

NPI 1316914112

Doctor of Medicine (M.D.)

NPI 1407117039

Doctor of Medicine (M.D.)

NPI 1417062506

Doctor of Medicine (M.D.)

NPI 1427743335

Doctor of Osteopathic Medicine (D.O.)

Leslie Larsen , RN, MS, CPNP

Nurse Practitioner - Pediatrics

NPI 1508816984

Registered Nurse, Master of Science, Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 09, 2024

Registered at 500 W THOMAS RD STE 250, PHOENIX, AZ 850134215 (Tel: 6024063520)

📍
Updated Business Mailing Address December 09, 2024

Registered at PO BOX 33269, PHOENIX, AZ 850673269 (Tel: 6024064786)

📍
Updated Business Mailing Address July 27, 2020

Registered at 3200 E CAMELBACK RD STE 250, PHOENIX, AZ 850182327 (Tel: 6029331814)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2020

Pediatrics (License #60154 in AZ)

NPI Profile Active May 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2017

Registered at 1919 E THOMAS RD, PHOENIX CHILDREN'S HOSPITAL, PHOENIX, AZ 85016 (Tel: 6025462923)

📍
Updated Business Mailing Address May 04, 2017

Registered at 6819 E SHEENA DR, SCOTTSDALE, AZ 852543440 (Tel: 9144092207)

👤
Provider Name / Credentials Updated May 04, 2017

Recorded as ETHAN DODGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 04, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962938464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2017
Last Update: December 09, 2024
Sole Proprietor: No

Mailing Address

Po Box 33269

Phoenix, AZ 850673269

Phone: 6024064786

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.