MEDICARE: MR. ETHAN ANDREW MCDONALD PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1285598508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ETHAN ANDREW MCDONALD PA-C

Provider Business Mailing Address
First Line	:	8407 CADDIS CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-5221
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-526-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

Similar Medicare Providers

1386950269 — SPENCER DANE HASLAM
Practice Location Address:

1650 COCHRANE CIR BLDG 7500
FORT CARSON, CO
80913-4613

Practice Phone: 719-526-7339
Practice Fax:

1174293609 — COLTON ALEXANDER HUST DPT
Practice Location Address:

1650 COCHRANE CIR BLDG 7500
FORT CARSON, CO
80913-4613

Practice Phone: 719-526-7000
Practice Fax:

1972937381 — JONATHAN H. QUIRK PHARMD, RPH
Practice Location Address:

1650 COCHRANE CIR
FORT CARSON, CO
80913-4613

Practice Phone: 719-524-4410
Practice Fax:

1144917857 — TOMISLAV PUDIC PA-C
Practice Location Address:

1650 COCHRANE CIR # 80913
FORT CARSON, CO
80913-4613

Practice Phone: 719-526-7000
Practice Fax:

1154283984 — JASMINE SANDERS LCSW
Practice Location Address:

1650 COCHRANE CIR
FORT CARSON, CO
80913-4613

Practice Phone: 719-524-7155
Practice Fax:

1033127469 — DR. RICHARD BURTON WESTRICK DPT, DSC
Practice Location Address:

1650 COCHRANE CIR # B7500
FORT CARSON, CO
80913-4613

Practice Phone: 719-526-7234
Practice Fax: 719-524-2258

Directions to “ MR. ETHAN ANDREW MCDONALD PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.