Ethan M. Dymond, PA
NPI 1275270324ActiveIndividual· Physician Assistant· Charlottesville, VA
Physician Assistant (PA) in Charlottesville, Virginia, licensed in VA, with an NPI issued in May 2022. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1275270324 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 18, 2022 |
| Last updated in NPPES | Sep 21, 2026 |
| Certified by provider | Sep 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0110008580 | VA |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (VA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Charlottesville
- 1003551706
- 1013402148
- 1023410248
- 1053442129
- 1073014692
- 1073026142
- 1073177077
- 1104226919
- 1104277417
- 1124460589
- 1134806946
- 1164915054
All 165 physician assistants in Charlottesville · All physician assistants in Virginia