Individual provider Active NPI

Ethan Kobe, DO

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1437679909
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17189 Issued in CA
Practice address
190 N Main St Ste 204
Washington, PA 15301-4395
Phone
(724) 225-9970
Fax
(724) 223-4253
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A17189 CA Primary

Addresses

Primary practice location

190 N Main St Ste 204
Washington, PA 15301-4395

Mailing address

190 N Main St Ste 204
Washington, PA 15301-4395
Phone (724) 225-9970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201021001302 CA Practitioner - Family Practice 9638599251 Reassigns benefits to 1 organization
I20211109002666 PA Practitioner - Family Practice 9638599251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

Hospital & facility affiliations

  • Amedisys Home Health of PA Home health agency, Uniontown, PA, CCN 397139
  • Concordia Hospice of Washington Hospice, Canonsburg, PA, CCN 391519
  • Amedisys Hospice of PA Hospice, Uniontown, PA, CCN 391544
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Upmc Greene Hospital, Waynesburg, PA, CCN 390150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A17189CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Family Medicine CurrentSince Nov 15, 2021 Accepting new patients
Pacific Inpatient Physicians CurrentSince Oct 1, 2020 Accepting new patients

Locations

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

Interoperability endpoints

  • Direct secure messaging: ethan.kobe@whc.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1437679909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST STE 204",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014395",
            "telephone_number": "724-225-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST STE 204",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014395",
            "telephone_number": "724-225-9970",
            "fax_number": "724-223-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBE",
        "first_name": "ETHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.