JOHN K. ETHRIDGE, JR. MD – NPI #1306042619
Obstetrics & Gynecology

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

JOHN ETHRIDGE, JR. is a physician located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1306042619 to JOHN ETHRIDGE, JR. on June 23, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VM0101X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine

The NPI profile was previously updated about 8 years ago on Jul 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN ETHRIDGE, JR. below.

NPI Profile for
JOHN K. ETHRIDGE, JR.

NPI Number
1306042619
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN K. ETHRIDGE, JR.
Credentials
MD
Primary location
1000 E PRIMROSE ST STE 360
SPRINGFIELD, MO 65807
Phone: (417) 269-4037 Fax: (417) 269-6139
Mailing address
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone: (417) 269-5712 Fax: (417) 269-7567
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VM0101X
- Obstetrics & Gynecology / Maternal & Fetal Medicine (Primary)
TN 51003
207V00000X
- Obstetrics & Gynecology
OK 25614

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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