Ethan Calvin

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

100599 Issued in LA

Practice address

2161 Airline Dr Ste B
Bossier City, LA 71111-3172

Phone

(318) 746-6288

Fax

(318) 746-7911

NPI assigned

Nov 24, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Physician'S Choice Home Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Bossier City, LA
  • NPI 1255382123
  NPD
• Oxygen Rich, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wake Village, TX
  • NPI 1891867354
  NPD (past)

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1700748159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DOCTORS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113321",
            "telephone_number": "318-746-6288",
            "fax_number": "318-746-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 AIRLINE DR STE B",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113172",
            "telephone_number": "318-746-6288",
            "fax_number": "318-746-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Kings Way",
            "address_purpose": "LOCATION",
            "city": "Wake Village",
            "state": "TX",
            "postal_code": "755015775",
            "country_code": "US",
            "telephone_number": "903-831-7424",
            "fax_number": "903-831-2384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVIN",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "100599",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "AR",
            "license": "100599",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "LA",
            "license": "100599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantal Butler
• Heather Ann Bynog, RN
• Jennifer Byrd, PHARM. D.
• Michelle Byrd
• Paul Wayne Byrd, NNP-BC
• Ashley Campbell, LCSW, C-SSWS
• Katelyn Renee Candler, RPH
• Stacey Lynn Cantrell, M.S., CCC-SLP
• Marc Stephen Cappello, PD
• Laura Caraway, DPT

• Other Technician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Other Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.