Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396626420 Individual Practitioner Male Practitioner

Ethan Ilagan

Anesthesiologist Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ethan Ilagan is a certified Anesthesiologist Assistant practicing in Jacksonville, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Ethan Ilagan delivers high-quality medical care to the local community at 4201 BELFORT RD.

Ethan Ilagan maintains professional affiliations with North Florida Anesthesia Consultants Inc, The San Antonio Orthopaedic Group Llp and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4201 Belfort Rd

Jacksonville, FL 322161431

Telephone 9042963700
Associated Practice Facility / Clinic
🏢 Belfort Emergency Physicians Facility NPI 1912195108

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Jacksonville, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -5.5 yrs vs City Avg
City Avg: 6.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
107 Specialists

Practicing in Jacksonville, FL (970 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ilagan (1 Years) 1 Yrs
Jacksonville Specialty Average (6.5 Years) 6.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-20
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License FL AA1172

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
128909300 (FL)

Hospital & Practice Group Affiliations

The San Antonio Orthopaedic Group Llp

400 Concord Plaza Dr, San Antonio, TX 782166991

Phone: 2108045400

North Florida Anesthesia Consultants Inc

1 Shircliff Way, Jacksonville, FL 322044748

Phone: 9549395000

Practice Associates & Co-Workers

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

16 Associated Practitioners
Katherine Lemaster , LCSW, RN

Social Worker - Clinical

NPI 1023015062

Licensed Clinical Social Worker, Registered Nurse

Austin Rowe , NP

Nurse Practitioner - Acute Care

NPI 1104498997

Nurse Practitioner

Hayden Heller , CRPS

Peer Specialist

NPI 1184504664
Dr. Michael Maxwell , MD

Emergency Medicine

NPI 1205823267

Doctor of Medicine (M.D.)

Dr. Mae Coleman , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1235195272

Doctor of Medicine (M.D.)

Rina Vasilarakis , PA-C

Physician Assistant

NPI 1255145504

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 20, 2026

Registered at 4201 BELFORT RD, JACKSONVILLE, FL 322161431 (Tel: 9042963700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2025

Anesthesiologist Assistant (License #AA1172 in FL)

NPI Profile Active September 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2025

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522650111)

📍
Updated Business Mailing Address September 08, 2025

Registered at 213 BERRY FARM LN, SAINT JOHNS, FL 322597211

👤
Provider Name / Credentials Updated September 08, 2025

Recorded as ETHAN ILAGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Anesthesiologist Assistant

🟢
Initial NPI Registration & Enumeration September 08, 2025

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: 1396626420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2025
Last Update: February 20, 2026
Sole Proprietor: No

Mailing Address

213 Berry Farm Ln

Saint Johns, FL 322597211

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.