Active NPI
Ethan Robert Jones, PA-C
- Medical Physician Assistant
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 436-8686
- NPI assigned
- Oct 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
335 Long Bow CT
Valparaiso, IN 46383-8308
Phone (219) 286-0054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659
4900 Beaner Blvd
Gas City, IN 46933-9788
Phone (800) 566-5659
701 Orthopaedic Dr
Warsaw, IN 46582-3904
Phone (800) 566-5659
701 Orthopaedic Dr
Suite 100
Warsaw, IN 46582-3905
Phone (260) 436-8686
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (800) 566-5659
7619 W Jefferson Blvd
Fort Wayne, IN 46804-4133
7631 W Jefferson Blvd
The Imaging Center
Fort Wayne, IN 46804-4133
Phone (260) 436-7770
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Orthopaedics LLC | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Fort Wayne Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Past | Accepting new patients |
Locations
306 E Maumee St
Ste 301
Angola, IN 46703
Phone (260) 665-1670
820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
4900 Beaner Blvd
Gas City, IN 46933
Phone (765) 573-0725
8450 Northwest Blvd
Indianapolis, IN 46278
605 N Walnut St
North Manchester, IN 46962
Phone (219) 982-1994
1430 E 9th St
Rochester, IN 46975
Phone (574) 223-9393
701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582
701 Orthopaedic Dr
Ste 100
Warsaw, IN 46582
701 Orthopaedic Dr
Warsaw, IN 46582
Phone (260) 435-6722
Interoperability endpoints
- ethan.jones.p1@direct.fwortho.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1497758429
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
-
dba Orthoindy - St. Vincent Indianapolis
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1134431125
-
dba Orthoindy
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Lutheran Kosciusko Hospital
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1205659059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 LONG BOW CT",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463838308",
"telephone_number": "219-286-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "260-436-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ETHAN",
"middle_name": "ROBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-31",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.