Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Ethan Edward Smith, PA-C
Physician Assistant in Spooner, WI · enumerated 2023.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1073215984
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Registry record
Entity type Individual (Type 1)
Name Mr. Ethan Edward Smith
Credential PA-C
Sex Male
Practice address 1180 Chandler Dr, Spooner, WI, 54801
Phone (715) 635-2151
Enumeration date Mar 22, 2023
Last updated in NPPES Sep 11, 2024
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 8040 (WI) Primary
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.
Frequently asked questions
What is the NPI number for Ethan Smith?
The National Provider Identifier (NPI) for Ethan Smith is 1073215984, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ethan Smith practice?
The practice location on file with NPPES is in Spooner, WI. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-11.