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NPI · 1023089547 · NPPES-sourced

Ethan Conroy Pac

ActiveSurgical Physician Assistant
NPI Number
1023089547
Type 1 · Individual
Taxonomy Code
363AS0400X
Contact
(651) 224-7854
License MN · 9849
Last Updated
Enumerated
Primary practice addressMN · 55102-1045
17 Exchange St W, Suite 222Saint Paul, MN 55102-1045
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About this NPIWhat this record shows.

NPI 1023089547 is registered to Ethan Conroy Pac, a Surgical Physician Assistant practising at 17 Exchange St W, Suite 222 in Saint Paul, Minnesota. Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ethan Conroy Pac has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ethan Conroy Pac accepts. To confirm in-network status with your specific health plan, contact Ethan Conroy Pac directly at (651) 224-7854.

Frequently asked

Yes. NPI 1023089547 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (651) 224-7854.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ethan Conroy Pac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AS0400X
Last updated
Enumerated
StatusActive
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