MR. ETHAN WALLACE RHONE PA-C NPI 1821090093

NPI Information

NPI: 1821090093
Provider Name: MR. ETHAN WALLACE RHONE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: PENSACOLA NEPHROLOGY PA

PECOS Registration: Yes

Address:
1619 CREIGHTON RD STE 1
PENSACOLA, FL
ZIP 32504
Phone: (850) 444-4700
Get Directions

MR. Ethan Wallace Rhone, PA-C is a medical physician assistant in Pensacola, FL with 26 years of experience. MR. Ethan Wallace Rhone, PA-C NPI is 1821090093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1619 CREIGHTON RD STE 1
PENSACOLA, FL
ZIP 32504-152
Phone: (850) 444-4700
Fax: (850) 434-8144

The NPI 1821090093 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA9100907	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	PA9100907	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	291142600	MEDICAID	FLORIDA
2	PA9100907	OTHER	FLORIDA	FLORIDA STATE DOH - MEDICAL LICENSURE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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