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Ethan Ilagan

NPI 1396626420ActiveIndividual· Anesthesiologist Assistant· Jacksonville, FL

Anesthesiologist Assistant with The San Antonio Orthopaedic Group LLP and 1 other group, practicing in Jacksonville, Florida. Enrolled in Medicare as practitioner - anesthesiology assistant and practitioner - anesthesiology assistant. Lists Ascension St Vincent's Riverside and 1 other hospital as hospital affiliations.

Overview

NPI1396626420
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 8, 2025
Last updated in NPPESFeb 20, 2026
Certified by providerFeb 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary367H00000XAA1172FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Anesthesiology Assistant (FL); Practitioner - Anesthesiology Assistant (TX)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyAnesthesiology Assistant

Medical groups

Hospital affiliations

Source: CMS Care Compare

Other Anesthesiologist Assistant providers in Jacksonville

All 106 Anesthesiologist Assistant providers in Jacksonville · All Anesthesiologist Assistant providers in Florida