SHELBY TYRUS ETHRIDGE RT (R) (CT) NPI 1073002630

NPI Information

NPI: 1073002630
Provider Name: SHELBY TYRUS ETHRIDGE, RT (R) (CT)
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3200 VINE ST
CINCINNATI, OH
ZIP 45220
Phone: (513) 861-3100
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Shelby Tyrus Ethridge, RT (R) (CT) is a diagnostic radiology radiology in Cincinnati, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Shelby Tyrus Ethridge, RT (R) (CT) NPI is 1073002630. 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:

3200 VINE ST
CINCINNATI, OH
ZIP 45220-213
Phone: (513) 861-3100

The enumeration date for this NPI number is 5/8/2018 and was last updated on 5/8/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	R8859300	OHIO	Yes

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: 5/5/2024

NPI Synchronization or Removal

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