WILLIAM BRUCE ETHRIDGE (NPI# 1205890530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205890530 |
| Entity Type | Individual |
| Full Name | WILLIAM BRUCE ETHRIDGE |
| Credential | MD |
| Practice Address |
1951 W 25th Street Ste F Yuma AZ 85364 |
| Mailing Address |
Po Box 2332 Palm Springs CA 92263 |
| Practice Telephone | 9283141174 |
| Practice Fax Number | 9283141175 |
| Mailing Telephone | 7603221205 |
| Mailing Fax Number | 7607785770 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
12956 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
12956 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 249145 | 01 |
| Street Address |
1951 W 25TH STREET STE F |
| City | YUMA |
| State | AZ |
| Zip Code | 85364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407914799 | Rodney Thomas | Physical Therapist | 1951 W 25th Street, Suite C, Yuma, AZ 85364-6925 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174550412 | Giangreco Medical Group | Internal Medicine | 1951 W 25th St, Suite F, Yuma, AZ 85364-6925 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526472 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 3530 S Val Vista Dr Ste C203, Gilbert, AZ 85297-7318 | 2019-03-11 |
| 1184126344 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 9755 N 90th St Ste A105, Scottsdale, AZ 85258-5046 | 2018-03-05 |
| 1174882690 | Douglas Robinson | Internal Medicine | 10624 N Crestview Dr, Fountain Hills, AZ 85268-6107 | 2012-05-04 |
| 1528258662 | Joshua Labaer | Internal Medicine | 1001 S Mcallister Ave, Tempe, AZ 85287-0001 | 2007-07-25 |
| 1548349707 | Morris H. Fine | Internal Medicine | 4090 N Painted Quail Pl, Tucson, AZ 85750-6140 | 2006-11-06 |
| 1013954858 | Cochise Oncology LLC | Internal Medicine | 5151 E Highway 90, Sierra Vista, AZ 85635-2436 | 2006-06-01 |
| 1255322871 | Robert Gary Gagliano | Internal Medicine | 203 S Candy Ln, Suite 9a, Cottonwood, AZ 86326-4120 | 2005-11-02 |
| 1417942905 | Nathaniel Fastenberg | Internal Medicine | 6111 E Arbor Ave, Mesa, AZ 85206-6059 | 2005-09-12 |
| 1801397658 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 2925 W Rose Garden Ln, Phoenix, AZ 85027-3135 | 2018-02-27 |
| 1497143895 | Arizona Oncology Associates PC | Internal Medicine | 10460 N 92nd St, Ste. # 402, Scottsdale, AZ 85258-4548 | 2015-01-07 |
| Find all providers with the same taxonomy | ||||
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| 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.