Active NPI
Ethan Alan Webb, M.D.
- Internal Medicine Physician
- Titusville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME119885
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011682100 | Medicaid | FL |
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
Enrollment records 1
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 LLC
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
- Pinnacle Home Care
- Concierge Home Care
- Health First Home Care
- HCA Florida Healthcare at Home
- Parrish Medical Center
- Viera Hospital
- Orlando Health Melbourne Hospital
- Holmes Regional Medical Center
- Cape Canaveral Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| RHG of Florida PA | Current | 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
- 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.
-
- Family Medicine Physician
- Sebastian, FL
- NPI 1932926169
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Internal Medicine
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Melbourne, FL
- NPI 1184183022
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- Home Health Agency
- Melbourne, FL
- NPI 1922006956
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- Home Health Agency
- Melbourne, FL
- NPI 1083328652
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- Home Health Agency
- Melbourne, FL
- NPI 1902881642
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- Home Health Agency
- Orlando, FL
- NPI 1730647041
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.