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DR. JOHN KENDALL ETHRIDGE MD NPI 1306042619


NPI Information

NPI: 1306042619
Provider Name: DR. JOHN KENDALL ETHRIDGE, MD
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

PECOS Registration: Yes

Address:
1000 E PRIMROSE ST STE 360
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-4037
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DR. John Kendall Ethridge, MD is a maternal and fetal medicine obstetrics gynecology in Springfield, MO with 19 years of experience. The provider is 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. DR. John Kendall Ethridge, MD NPI is 1306042619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 E PRIMROSE ST STE 360
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-4037
Fax: (417) 269-6139

The NPI 1306042619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2007 and was last updated on 7/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology25614OKLAHOMANo
2207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine51003TENNESSEENo
3207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine2018009510MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.