Individual Healthcare Provider
Ethan Everlith
Provider's NPPES record last updated: November 22, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003391434
- Primary Specialty
- Physician Assistant
- Practice Location
- Gilbert, Arizona
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:43 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
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.
Taxonomy code 363A00000X Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (Arizona)
- 7291
- Physician Assistant (Arizona)
- 7291
Practice Locations
Practice Location
2940 E Banner Gateway Dr Ste 200
Gilbert, Arizona 85234-2171
Phone: (480) 964-2908
Additional Practice Location
525 S Chandler Village Dr
Chandler, Arizona 85226-5152
Phone: (480) 964-2908
Additional Practice Location
1675 E Melrose St Ste 101-103
Gilbert, Arizona 85297-1001
Phone: (602) 648-5444
Fax: (602) 772-3801
Additional Practice Location
485 S Dobson Rd Ste 101
Chandler, Arizona 85224-5603
Phone: (480) 728-4981
Fax: (480) 728-4985
Record Information
- Enumeration Date
- October 2, 2018
- Provider's NPPES Record Last Updated
- November 22, 2024
- Certification Date
- November 22, 2024
- NPISignal NPPES Dataset
- August 2026
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