ETHAN CONROY (PAC) – Surgical Physician Assistant, NPI 1023089547

ETHAN CONROY (PAC) is a healthcare provider. based in Saint paul, Minnesota. specializing in Surgical Physician Assistant. They hold the professional credentials PAC. They hold a License No. 9849 (MN). The NPI Number for ETHAN CONROY (PAC) is 1023089547

Main info

Male
Name
ETHAN CONROY (PAC)
NPI
1023089547
Phone
(651) 224-7854
Address
17 EXCHANGE ST W
Enumeration Date
1 February 2006
Last Update Date
30 October 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ETHAN CONROY (PAC)

  • 17, Exchange Street West, Downtown, Saint Paul, Ramsey County, Minnesota, 55102, United States

    SUITE 222

    SAINT PAUL, MN 551021045

    Phone: (651) 224-7854

    Type: Location

  • Holton Street, Hamline-Midway, Saint Paul, Ramsey County, Minnesota, 55104, United States

    SAINT PAUL, MN 551082326

    Phone: (651) 644-3119

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55102)

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Reviews

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Frequently asked questions

What is the standard ID for ETHAN CONROY (PAC) in the U.S.?
In the U.S., ETHAN CONROY (PAC) is identified by NPI 1023089547.
Quick check: is ETHAN CONROY (PAC) active?
Public NPPES data shows ETHAN CONROY (PAC) with an active NPI status right now.
How should patients interpret ETHAN CONROY (PAC)'s specialty?
The extract shows Surgical Physician Assistant for ETHAN CONROY (PAC). Clinical services aligned with this taxonomy classification.
Can patients visit ETHAN CONROY (PAC) in Saint Paul, Minnesota?
For routing, start with Saint Paul, Minnesota for ETHAN CONROY (PAC), then verify phone and hours locally.
Who maintains ETHAN CONROY (PAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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