Active NPI
Ethan Richard Manos, PA-C
- Physician Assistant
- Woonsocket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA7744
- Practice address
- 115 Cass Ave
Woonsocket, RI 02895-4705 - Phone
- (401) 769-4100
- NPI assigned
- Mar 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA7744 | MA | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
115 Cass Ave
Woonsocket, RI 02895-4705
Mailing address
4 Woodview Way Unit A23
Hopkinton, MA 01748-2860
Phone (857) 772-9380
Other practice location 1
1 Lumber St Ste 101
Hopkinton, MA 01748-2364
Phone (508) 435-5936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Lumber St
Hopkinton, MA 01748-2363
Phone (508) 435-5936
1 Lumber St
Suite 101
Hopkinton, MA 01748-2364
Phone (508) 625-3535
100 Medway Rd
Milford, MA 01757-2923
129 S Main St
Milford, MA 01757-3290
Phone (774) 462-3339
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.61 of 100
- Quality
- 85.22
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Regional Physician Group, Inc. | Single Specialty | Current | Accepting new patients |
| Milford Regional Physician Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
1 Lumber St
Ste 101
Hopkinton, MA 01748
Phone (508) 625-3535
68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020
100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338
14 Prospect St
Milford, MA 01757
Phone (508) 422-2343
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- manos.ethan.mrmc@direct.partners.masshiway.net
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.
-
- Internal Medicine Physician
- Milford, MA
- NPI 1902856024
Single Specialty
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Single Specialty
-
- Emergency Medicine Physician
- Milford, MA
- NPI 1588728240
-
- Sports Medicine (Family Medicine) Physician
- Medway, MA
- NPI 1508681321
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1366078206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WOODVIEW WAY UNIT A23",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017482860",
"telephone_number": "857-772-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CASS AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954705",
"telephone_number": "401-769-4100"
}
],
"practiceLocations": [
{
"address_1": "1 Lumber St Ste 101",
"address_purpose": "LOCATION",
"city": "Hopkinton",
"state": "MA",
"postal_code": "017482364",
"country_code": "US",
"telephone_number": "508-435-5936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANOS",
"first_name": "ETHAN",
"middle_name": "RICHARD",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-22",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA7744",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.