IndividualActive
Ethan Burdman, PA-C, MPAS
NPI 1710130190 · Medical Physician Assistant · Gettysburg, SD
Provider details
- NPI number
- 1710130190
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, MPAS
- Sex
- Male
- Sole proprietor
- No
- License
- 0692 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
608 E Garfield Ave
Gettysburg, SD 57442-1325
Phone: (605) 765-2273
Fax: (605) 765-3212
Approximate (ZIP-level) locationGet directions
Mailing address
1515 Village Dr
Cottage Grove, OR 97424-9700
Additional practice locations (1)
- 1515 Village DrCottage Grove, OR 97424-9700Phone: (541) 767-5222Fax: (541) 767-5230
Registry dates
- Enumerated
- 2008-10-29
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.