Provider Demographics
NPI:1336146760
Name:ETHINGTON, MORGAN P (PA)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:P
Last Name:ETHINGTON
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:419-824-7451
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:# 450
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3856
Practice Address - Country:US
Practice Address - Phone:419-291-2003
Practice Address - Fax:419-479-6977
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2023-11-03
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Provider Licenses
StateLicense IDTaxonomies
OH50001759363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH970024043Medicare PIN
OH76781Medicare PIN
OH76781Medicare PIN