Ethan Vance Isaacson I

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1 Tressel Way
Youngstown, OH 44555-9703

Phone

(330) 941-3000

NPI assigned

Aug 27, 2025

Last updated

Aug 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1154200020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 CARROUSEL WOODS DR",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444427735",
            "telephone_number": "330-885-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRESSEL WAY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445559703",
            "telephone_number": "330-941-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "ETHAN",
        "middle_name": "VANCE",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittney M Isaac
• Beshoy Iskander
• Magdy K Iskander, M.D.
• Elias Issa, M.D
• Nicole Louise Italiano, APRN
• Stefanie A Iudiciani, CDCA, CPRS

• Athletic Trainer in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.