Individual provider · Type 1 NPI

Ethan Chernivec, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1336897586 Active

Practice location

545 Barnhill Dr # EH125
Indianapolis, IN 46202-5112

Other practice locations

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 · (317) 944-5000

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X01095904A (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336897586

Ethan Chernivec, MD's National Provider Identifier is 1336897586, issued on Mar 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on May 27, 2025.