Doctor profile · Federal record
Dr. Ethan Kimball, PA-C
Physician Assistant · Lebanon, NH
- NPI 1700566890
- Accepts Medicare
- 4 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1 Medical Center Dr
Lebanon, NH 037560001
(603) 650-5000
fax (603) 640-1228 - Mailing address
-
Po Box 810
Hanover, NH 037550810
Credentials & registration
- NPI registered
- July 2023 — 3 yrs on file
- Profile last updated
- December 12, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New Hampshire #2155
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700566890. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$129
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $128.96 |
By nature of payment
Frequently asked questions
What is Dr. Ethan Kimball's medical specialty?
Dr. Ethan Kimball practices Physician Assistant in Lebanon, NH.
Where does Dr. Ethan Kimball practice?
Dr. Ethan Kimball practices at 1 Medical Center Dr, Lebanon, NH 037560001. Office phone: 6036505000.
What is Dr. Ethan Kimball's NPI?
Dr. Ethan Kimball's National Provider Identifier (NPI) is 1700566890, issued by NPPES.
Does Dr. Ethan Kimball accept Medicare assignment?
Yes. Dr. Ethan Kimball accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.