Active NPIIndividual provider

Ethan R Walsh, PA-C

Physician Assistant in North Dartmouth, Massachusetts

NPI Number1649762071
Practice location
300A Faunce Corner RD, North Dartmouth, MA 02747-1280
Fax
508-973-1185
Last updated
January 7, 2026

Ethan R Walsh is a Physician Assistant based in North Dartmouth, MA. Ethan R Walsh practices in North Dartmouth, MA and has the professional credentials of PA-C. The NPI Number for Ethan R Walsh is 1649762071 and holds a License No. PA8342 (MA). The current practice location address for Ethan R Walsh is 300A Faunce Corner RD, North Dartmouth, MA 02747-1280 and can be reached out via phone at 508-973-2213 and via fax at 508-973-1185.

Provider Profile Details

NPI Number
1649762071
Provider Name
Ethan R Walsh
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
300A Faunce Corner RD, North Dartmouth, MA 02747-1280
Phone Number
508-973-2213
Fax Number
508-973-1185
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2018
Last Update Date
January 7, 2026
Certification Date
January 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300A Faunce Corner RD
North Dartmouth, MA 02747-1280
Zip
02747-1280
Phone Number
508-973-2213
Fax Number
508-973-1185
North Dartmouth, MA 02747Get directions →

Provider Business Mailing Address Details

Address
200 Mill RD
Fairhaven, MA 02719-5252
City
Fairhaven
State
MA
Zip
02719-5252
Phone Number
508-973-2000
Fax Number
508-973-2001

License Information

License Number (1)
PA8342
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License State (2)
RI
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X

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 Walsh, PA-C?

The NPI number of Ethan R Walsh, PA-C is 1649762071. It was assigned on June 1, 2018 and is currently active in the NPPES registry.

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

Ethan R Walsh, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8342.

Where does Ethan R Walsh, PA-C practice?

The practice location is 300A Faunce Corner RD, North Dartmouth, MA 02747-1280. The office can be reached at 508-973-2213 (phone) or 508-973-1185 (fax).

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 1649762071 directly on the NPPES registry website.

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