Ethan Wesley McDonald I

Physician Assistant · Wheeling, WV

Individual Active NPI

NPI number 1639837784

Practice location

10 Medical Park Ste 104
Wheeling, WV 26003-6389
Phone
(304) 242-4800

Open in Google Maps

NPI record

NPI
1639837784
Entity type
Individual (Type 1)
Enumeration date
December 6, 2021
Last updated
December 6, 2022
Certified
December 6, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 2647 WV
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

206 Macallan Ln Unit 1
Triadelphia, WV 26059-2464

Other practice locations (1)

  • 206 Macallan Ln Unit 1, Triadelphia, WV 26059-2464 · (304) 671-3145

About Ethan McDonald

Ethan Wesley McDonald I is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 10 Medical Park Ste 104, Wheeling, WV 26003-6389. The NPI number 1639837784 was assigned on December 6, 2021 and the record was last updated on December 6, 2022.

Ethan McDonald lists a license in the registry: #2647 (WV) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Wesley McDonald I?

The NPI number is 1639837784.

What is the phone number of Ethan McDonald?

The phone number listed for the practice location is (304) 242-4800.

Where is Ethan McDonald located?

10 Medical Park Ste 104, Wheeling, WV 26003-6389.

What is the taxonomy code for Ethan McDonald?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Wheeling

All Physician Assistant providers in Wheeling, WV →