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Ethan Conroy, PAC

Surgical Physician Assistant in Saint Paul, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023089547

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Registry record

Entity type Individual (Type 1)
Name Ethan Conroy
Credential PAC
Sex Male
Practice address 17 Exchange St W, Suite 222, Saint Paul, MN, 55102
Phone (651) 224-7854
Enumeration date Feb 1, 2006
Last updated in NPPES Oct 30, 2014

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9849 (MN) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9849 (MN) Primary

Other identifiers

Identifier Type State Issuer
923192700 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1023089547 active?
Yes, as of the latest NPPES snapshot, NPI 1023089547 is active (record last updated 2014-10-30).
How do I verify Ethan Conroy's NPI record?
Cross-check NPI 1023089547 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-30.