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Active NPI 1073215984 Individual Practitioner Male Practitioner

Ethan Edward Smith , PA-C

Physician Assistant • Spooner, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ethan Smith, PA-C is a certified Physician Assistant practicing in Spooner, WI. With approximately 2 years of clinical experience since completing medical education in 2024, Ethan Smith delivers high-quality medical care to the local community at 1180 CHANDLER DR.

Ethan Smith maintains professional affiliations with St Marys Hospital Of Superior, Advantage Physical Therapy And Sports Rehab, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1180 Chandler Dr

Spooner, WI 548012204

Telephone 7156352151
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spooner, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs Matches City Avg
City Avg: 2.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Spooner, WI (3517 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. Smith (2 Years) 2 Yrs
Spooner Specialty Average (2.0 Years) 2.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-09-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 8040

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

St Marys Hospital Of Superior

1180 Chandler Dr, Spooner, WI 548012204

Phone: 7156352151

Advantage Physical Therapy And Sports Rehab, Llc

112 Ash St, Spooner, WI 548011487

Phone: 7156353979

St Marys Hospital Of Superior

819 Ash St, Spooner, WI 548011201

Phone: 7156355303

St Marys Hospital Of Superior

11134 N State Rd, Hayward, WI 548435325

Phone: 7156345505

Practice Associates & Co-Workers

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

15 Associated Practitioners
Joseph Stromsness , APRN, CNP

Nurse Practitioner - Family

NPI 1013395748

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Robert Peterson , PA-C

Physician Assistant

NPI 1033198957

Physician Assistant (Certified)

Bruce Bray

Family Medicine

NPI 1154458537
Brianna Stein , LAT

Specialist/Technologist - Athletic Trainer

NPI 1366842056

Licensed Athletic Trainer

Dr. Roger Handtke , DO

Family Medicine

NPI 1396776589

Doctor of Osteopathic Medicine (D.O.)

Dr. Megan Popp , MD

Physical Medicine & Rehabilitation

NPI 1427208677

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 11, 2024

Registered at 1180 CHANDLER DR, SPOONER, WI 548012204 (Tel: 7156352151)

📍
Updated Business Mailing Address September 11, 2024

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187868364)

👤
Provider Name / Credentials Updated September 11, 2024

Recorded as ETHAN SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2024

Physician Assistant (License #8040 in WI)

NPI Profile Active March 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2023

Registered at 3200 GRAND AVE, DES MOINES, IA 503124104 (Tel: 5152711569)

📍
Updated Business Mailing Address March 22, 2023

Registered at 2626 15TH ST, RICE LAKE, WI 548689542 (Tel: 7152054351)

👤
Provider Name / Credentials Updated March 22, 2023

Recorded as ETHAN SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 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: 1073215984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2023
Last Update: September 11, 2024
Sole Proprietor: No

Mailing Address

400 E 3rd St

Duluth, MN 558051951

Phone: 2187868364

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.