Active NPIIndividual providerSole proprietor

Ethan R Manos, PA-C

Physician Assistant in Woonsocket, Rhode Island

NPI Number1366078206
Practice location
115 Cass Ave, Woonsocket, RI 02895-4705
Fax
—
Last updated
December 4, 2025

Ethan Richard Manos is a Physician Assistant based in Woonsocket, RI. Ethan Richard Manos practices in Woonsocket, RI and has the professional credentials of PA-C. The NPI Number for Ethan Richard Manos is 1366078206 and holds a License No. PA7744 (MA). The current practice location address for Ethan Richard Manos is 115 Cass Ave, Woonsocket, RI 02895-4705 and can be reached out via phone at 401-769-4100.

Provider Profile Details

NPI Number
1366078206
Provider Name
Ethan Richard Manos
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
115 Cass Ave, Woonsocket, RI 02895-4705
Phone Number
401-769-4100
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2020
Last Update Date
December 4, 2025
Certification Date
December 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Cass Ave
Woonsocket, RI 02895-4705
Zip
02895-4705
Phone Number
401-769-4100
Woonsocket, RI 02895Get directions →

Provider Business Mailing Address Details

Address
4 Woodview Way Unit A23
Hopkinton, MA 01748-2860
City
Hopkinton
State
MA
Zip
01748-2860
Phone Number
857-772-9380

License Information

License Number (1)
PA7744
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan R Manos, PA-C?

The NPI number of Ethan R Manos, PA-C is 1366078206. It was assigned on March 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Ethan R Manos, PA-C?

Ethan R Manos, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA7744.

Where does Ethan R Manos, PA-C practice?

The practice location is 115 Cass Ave, Woonsocket, RI 02895-4705. The office can be reached at 401-769-4100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366078206 directly on the NPPES registry website.

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