CHRIS ETHRIDGE (NPI# 1134547045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134547045 |
| Entity Type | Individual |
| Full Name | CHRIS ETHRIDGE |
| Credential | MD |
| Practice Address |
215 Central Ave Ste 100 Louisville KY 40208-1450 |
| Mailing Address |
201 Abraham Flexner Way Ste 690 Louisville KY 40202-3841 |
| Practice Telephone | 5025888720 |
| Practice Fax Number | 5025888721 |
| Mailing Telephone | 5028520132 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386632560 | Chris Phillip Ethridge | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2005-10-11 |
| Street Address |
215 CENTRAL AVE STE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40208-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570958 | Peter A Esch | Internal Medicine | 215 Central Ave Ste 100, Jencare Neighborhood Medical Valley Station, LLC, Louisville, KY 40208-1450 | 2006-04-26 |
| 1154826105 | Mitchell Adam Kutner | Student in an Organized Health Care Education/Training Program | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2018-03-29 |
| 1275038184 | Amanda Johnson Allen | Student in an Organized Health Care Education/Training Program | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2018-03-24 |
| 1467987768 | Lauren Miller | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2017-04-24 |
| 1003270422 | Michael Petry | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2016-04-12 |
| 1902283609 | Ashley Mefford Iles | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-05-01 |
| 1063808137 | Sean Warren | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-04-15 |
| 1033358072 | Mary T Skinner | Nurse Practitioner | 215 Central Ave Ste 100, Suite 100, Louisville, KY 40208-1450 | 2009-02-16 |
| 1922211556 | Michael Eli Pendleton | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2007-05-08 |
| 1619003951 | Laura Morton | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784764 | Emmanuel Nwaogu | Nurse Practitioner | 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 | 2017-04-13 |
| 1295277226 | Ausi Transort, LLC | Non-emergency Medical Transport (VAN) | 1907-c S 4th St, Louisville, KY 40208 | 2016-11-08 |
| 1962954198 | Daniel Thomas | Specialist/Technologist | 1514 Central Avenue, Louisville, KY 40208 | 2016-11-04 |
| 1720321185 | Moiz Ahmad Khan | Student in an Organized Health Care Education/Training Program | 619 Montana Ave, Louisville, KY 40208 | 2013-04-03 |
| 1831140771 | Rebecca P Pirkle | Nurse Practitioner | 215 Central Station, 102, Louisville, KY 40208 | 2006-05-15 |
| 1689231375 | Jennifer Hofelich | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2019-05-29 |
| 1962892125 | Catherine Leigh Stone | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2015-01-27 |
| 1659636199 | Robbie Brewer Blair | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2012-07-11 |
| 1700923513 | Robin Goodman | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2007-01-31 |
| 1225060361 | Cindy L Lewis | Nurse Practitioner | 215 Central Ave, 102, Louisville, KY 40208 | 2006-07-07 |
| Find all providers in zip 40208 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566553 | Kenley N Joelson | Student in an Organized Health Care Education/Training Program | 2400 S 4th St Unit 710, Louisville, KY 40208-1526 | 2020-10-21 |
| 1235746512 | Nina S Smith | Student in an Organized Health Care Education/Training Program | 1115 Garvin Pl # 120, Louisville, KY 40203-3178 | 2020-09-30 |
| 1215541834 | Sarah Sloan Goldberg | Student in an Organized Health Care Education/Training Program | 11201 Bodley Dr, Louisville, KY 40223-1387 | 2020-09-01 |
| 1396361630 | Teylor Elizabeth Harrity | Student in an Organized Health Care Education/Training Program | 123 Woodruff 5 Rd, Louisville, MS 39339-7740 | 2020-06-23 |
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1790308161 | Sue Ann Heironimus | Student in an Organized Health Care Education/Training Program | 7516 Creekton Dr, Louisville, KY 40241-6430 | 2020-05-20 |
| 1780207274 | Isabel Misha Vyazmensky | Student in an Organized Health Care Education/Training Program | 2211 S Brook St Room 105, Louisville, KY 40292-2442 | 2020-05-19 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1831711027 | James Stephen Stotts | Student in an Organized Health Care Education/Training Program | 3018 Carson Way, Louisville, KY 40205-3116 | 2020-05-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40208 |
Please comment or provide details below to improve the information on CHRIS ETHRIDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.