ETHAN IRVIN PHYSICIAN ASSISTANT
NPI 1538834619
Physician Assistant in Robins Afb, GA

NPI Status: Active since August 11, 2021

Contact Information

655 7TH ST BLDG 700
ROBINS AFB, GA
ZIP 31098
Phone: (478) 497-7569

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  • Individual
  • Male
  • Physician Assistant

About ETHAN IRVIN

This page provides the complete NPI Profile along with additional information for Ethan Irvin, a primary care provider established in Robins Afb, Georgia with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1538834619 assigned on August 2021. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1538834619
Provider Name
ETHAN IRVIN PHYSICIAN ASSISTANT
Gender
Male
Entity Type
Individual
Location Address
655 7TH ST BLDG 700 ROBINS AFB, GA 31098
Location Phone
(478) 497-7569
Mailing Address
2803 MEDICAL CAMPUS DR GOLDSBORO, NC 27531
Mailing Phone
(919) 722-1802
Is Sole Proprietor?
Yes
Enumeration Date
08-11-2021
Last Update Date
07-28-2023
Code Navigator

A primary care provider (PCP) like Ethan Irvin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171000000XOther Service Providers

Military Health Care Provider

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538834619
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568163862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 6 + 3 + 8 + 6 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1538834619 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831183623 PHILIP GLEN BASCOM LCSW
Individual
Social Worker (Clinical)655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(850) 461-2083
1780666297DR. JOANNA S MCPHERSON DDS
Individual
Dentist655 7TH ST BLDG 700 78 MDG/SDG
ROBINS AFB, GA 31098
(478) 222-6865
1417363482ROBINS AIR FORCE BASE 78TH MEDICAL GROUP
Organization
Military/U.S. Coast Guard Pharmacy655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-8023
1497320055DUBLIN VAMC
Organization
Clinic/Center (VA)655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
(828) 257-2333
1871543736DR. DELVIDA L. LONG PH.D.
Individual
Psychologist (Clinical)655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-8398
1164178695 KYLER SAWTELLE
Individual
Military Health Care Provider (Independent Duty Medical Technicians)655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
(478) 327-8475
1477808012DR. MATTHEW PHILIP GAGNON M.D.
Individual
Family Medicine655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-7758
1396273926 AURIANNA N LIVELY LCSW
Individual
Social Worker655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-8487
1710480025DR. PATRICK RICHARD NOTINI MD
Individual
Psychiatry & Neurology (Psychiatry)655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
(478) 327-8398
1104206366 BRITTANY BALLEN
Individual
Preventive Medicine (Occupational Medicine)655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 926-9933
1619425188 MONIQUE BATTLE-STALLWORTH
Individual
Nurse Practitioner (Women's Health)655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-7817
1174846992 NICOLE MARIE BLAIR MD
Individual
Family Medicine655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-8487
1922587666 IAN ALEXANDER HAMILTON
Individual
Nurse Practitioner (Family)655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-7850
1619617289MR. KYLE MICHAEL LARSON IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-7850
1629063961 TANSEL ACAR DDS
Individual
Dentist (General Practice)655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(210) 652-1846
1831155233DR. MICHAEL RUTLEDGE FRAYSER D.O.
Individual
Family Medicine655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-7850
1750348207 KEITH E SCHLECHTE M.D.
Individual
Family Medicine655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-8487
1821693730DR. KELSEY GALEANO PHARM.D.
Individual
Pharmacist655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 327-7850
1306425558 REID AVERY WINDMILLER MD
Individual
Family Medicine655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
(478) 327-8487

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538834619, enumerated in the NPI registry as an "individual" on August 11, 2021

The provider is located at 655 7th St Bldg 700 Robins Afb, Ga 31098 and the phone number is (478) 497-7569

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on August 11, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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