Ethan Grant Novacinski
Ethan Grant Novacinski is a Physician Assistant in Des Moines, Iowa. Qualified in 2023, 3 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 3
- Licensed in
- MN
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Des Moines, IANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 14620 (MN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1083356406 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 7, 2022 |
| Last updated in NPPES | September 27, 2023 |
| Certification date | September 27, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Centracare Clinic — 782 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
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