Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750164752 Individual Practitioner Male Practitioner

Ethan Lawrence Smith

Physician Assistant • Spokane Valley, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ethan Smith is a certified Physician Assistant practicing in Spokane Valley, WA. With approximately 1 years of clinical experience since completing medical education in 2025, Ethan Smith delivers high-quality medical care to the local community at 1123 N EVERGREEN RD.

Ethan Smith is affiliated with T Daniel Dibble Md Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1123 N Evergreen Rd

Spokane Valley, WA 992161138

Telephone 5093633100
Fax 5093630300
Associated Practice Facility / Clinic
🏢 T Daniel Dibble Md Pc Facility NPI 1780754499

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 Physician Assistant in Spokane Valley, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
64 Specialists

Practicing in Spokane Valley, WA (3774 Statewide)

Telehealth Adoption Rate
3.1% 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. Smith (1 Years) 1 Yrs
Spokane Valley Specialty Average (10.3 Years) 10.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA1750164752

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

T Daniel Dibble Md Pc

510 E Holland Ave, Spokane, WA 992181206

Phone: 5093633100304

Practice Associates & Co-Workers

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

15 Associated Practitioners
Emily Dietz , ARNP

Nurse Practitioner - Family

NPI 1023263464

Advanced Registered Nurse Practitioner

Dr. Lee Sandquist , DO

Neurological Surgery

NPI 1073828794

Doctor of Osteopathic Medicine (D.O.)

Allison Luedke

Physician Assistant

NPI 1235859299
Nathan Wiens , PA-C

Physician Assistant

NPI 1316188220

Physician Assistant (Certified)

Dr. Antoine Tohmeh , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1366549040

Doctor of Medicine (M.D.)

Cheryl Somers , ARNP

Nurse Practitioner - Family

NPI 1508312497

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 30, 2025

Registered at 1123 N EVERGREEN RD, SPOKANE VALLEY, WA 992161138 (Tel: 5093633100)

📍
Updated Business Mailing Address October 30, 2025

Registered at PO BOX 808, VERADALE, WA 990370808 (Tel: 5093633100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Physician Assistant (License #PA1750164752 in WA)

NPI Profile Active August 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2023

Registered at 3600 N GARFIELD ST, MIDLAND, TX 797056329 (Tel: 3852855567)

📍
Updated Business Mailing Address August 15, 2023

Registered at 3600 N GARFIELD ST, MIDLAND, TX 797056329 (Tel: 3852855567)

👤
Provider Name / Credentials Updated August 15, 2023

Recorded as ETHAN SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 15, 2023

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: 1750164752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2023
Last Update: October 30, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 808

Veradale, WA 990370808

Phone: 5093633100

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.