Individual provider Active NPI

Ethan Alan Webb, M.D.

  • Internal Medicine Physician
  • Titusville, FL
National Provider Identifier
1902855596
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME119885 Issued in FL
Practice address
250 Harrison St
Titusville, FL 32780-5026
Phone
(321) 267-1424
Fax
(321) 267-2713
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME119885 FL Primary

Addresses

Primary practice location

250 Harrison St
Titusville, FL 32780-5026

Mailing address

805 Century Medical Dr Ste C
Titusville, FL 32796-2100
Phone (321) 268-6264

Other practice location 1

1849 Jess Parrish Ct
Parrish Medical Group
Titusville, FL 32796-2123
Phone (321) 267-1424

Other identifiers 1

IdentifierTypeStateIssuer
011682100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140904001913 FL Practitioner - Internal Medicine 9931101490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
RHG of Florida PAGroup PAC ID 7416479761, 22 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

4270 Minton Rd
West Melbourne, FL 32904-9579
Phone (321) 984-2933

8075 Spyglass Hill Rd
Suite 101
Melbourne, FL 32940-8281
Phone (321) 752-4100

Hospital & facility affiliations

  • Nayar Health Care Melbourne LLC Home health agency, Titusville, FL, CCN 687309
  • Pinnacle Home Care Home health agency, Orlando, FL, CCN 103127
  • Concierge Home Care Home health agency, Melbourne, FL, CCN 687040
  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • HCA Florida Healthcare at Home Home health agency, Melbourne, FL, CCN 107612
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Internal Medicine CurrentSince Jul 3, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 3, 2020 Accepting new patients
RHG of Florida PA CurrentSince Jan 16, 2025 Accepting new patients
Stewart and Stewart a Medical Corporation Internal Medicine Past Accepting new patients

Locations

240 N Wickham Rd
Ste 304
Melbourne, FL 32935
Phone (321) 308-5050

8075 Spyglass Hill Rd
Ste 101
Melbourne, FL 32940
Phone (321) 255-8008

119 Longwood Ave
Rockledge, FL 32955
Phone (321) 632-6963

1133 Seminole Dr
Rockledge, FL 32955
Phone (321) 637-2975

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Interoperability endpoints

  • Direct secure messaging: ethan.webb.1@15594.direct.athenahealth.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.

Hospital & facility affiliations 11

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1902855596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTURY MEDICAL DR STE C",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962100",
            "telephone_number": "321-268-6264",
            "fax_number": "321-267-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HARRISON ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805026",
            "telephone_number": "321-267-1424",
            "fax_number": "321-267-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1849 Jess Parrish Ct",
            "address_2": "Parrish Medical Group",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962123",
            "country_code": "US",
            "telephone_number": "321-267-1424",
            "fax_number": "321-267-2713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ETHAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011682100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.