WILLIAM ROBERT ETHERIDGE


Address: 2202 Westpark Dr, Suite A, Norman, OK 73069-4032
Phone: 4057013733

WILLIAM ROBERT ETHERIDGE (NPI# 1619363835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619363835
Entity Type Individual
Full Name WILLIAM ROBERT ETHERIDGE
Credential BOC LP
Practice Address 2202 Westpark Dr
Suite A
Norman
OK 73069-4032
Practice Telephone 4057013733
Practice Fax Number 4057013752
Mailing Telephone 4057013733
Mailing Fax Number 4057013752
Enumeration Date 2015-04-14
Last Update Date 2015-06-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist C21410 OK Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers WILLIAM ETHERIDGE

NPI Name Taxonomy Address Enumeration
1205466885 William Etheridge Counselor 122 Masondale Ave, Durham, NC 27707-3152 2020-01-22
1467750315 William Etheridge Physician Assistant 109 Bee St, Charleston, SC 29401-5703 2011-03-02

Office Location

Street Address 2202 WESTPARK DR
SUITE A
City NORMAN
State OK
Zip Code 73069-4032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457389462 Sherry Joyce Ford Counselor 2202 Westpark Dr, Suite A, Norman, OK 73069-4032 2006-06-29
1023490349 Etheridge Prosthetics LLC Prosthetist 2202 Westpark Dr, Suite A, Norman, OK 73069-4033 2015-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235739764 Pinnacle Family Health Care Family Medicine 2781 Washington Drive, Suite 101, Norman, OK 73069 2020-10-26
1063030088 Kristal Ladawn Vasquez Nurse Practitioner 4019 North Flood Ave, Normam, OK 73069 2020-07-07
1841828290 Cheryl Renee Stoepker Nurse Practitioner 3441 24th Ave Nw, Norman, OK 73069 2020-03-31
1427689215 Bodyworx Primary Care, LLC Nurse Practitioner 4019 N Flood Ave, Norman, OK 73069 2020-01-30
1528539376 Monika Potdar Pharmacist 2550 Mount Williams Dr, Norman, OK 73069 2018-12-05
1861962193 Bethany Spring Browne Physician Assistant 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 2018-11-29
1528536109 Summit Health and Wellness Center LLC Counselor 2770 Washington Dr, Suite 100, Norman, OK 73069 2018-11-13
1386121960 Sarah Lawhead Case Manager/Care Coordinator 525 Dakota St, Norman, OK 73069 2018-07-25
1528554433 Katie Blankenship Occupational Therapist 330 W Grey Street 100-2, Norman, OK 73069 2018-07-03
1568918886 Brandi Deerinwater Case Manager/Care Coordinator 321 S Peters, Norman, OK 73069 2016-08-28
Find all providers in zip 73069

Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023490349 Etheridge Prosthetics LLC Prosthetist 2202 Westpark Dr, Suite A, Norman, OK 73069-4033 2015-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487299376 Lindsay Ann Lafuente Prosthetist 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 2019-11-14
1427610526 Alita Javon Littlejohn Prosthetist 1840 Sagewood Dr, Edmond, OK 73013-2946 2019-06-28
1467932731 Nicholas Brown Prosthetist 225 Nw 9th St, Oklahoma City, OK 73102-2619 2018-08-16
1952644007 Andy John Anders Prosthetist 937 Sw 89th St Ste B, Oklahoma City, OK 73139-9231 2013-03-27
1477790111 Chad Simpson Prosthetist 7111 Nix Dr, Duncan, OK 73533-4191 2009-01-16
1962022822 Innovative Prothestics and Research, LLC Prosthetist 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 2020-04-21
1356835052 Alexander Ashoff Prosthetist 921 Ne 13th St, Oklahoma City, OK 73104-5007 2018-06-18
1396234589 Martin Bionics Clinical Care, LLC Prosthetist 214 E Main St, Oklahoma City, OK 73104-4221 2018-05-03
1619400876 Christopher Prestridge Prosthetist 229 Nw 9th St, Oklahoma City, OK 73102-2619 2017-04-05
1104181817 Michael Lloyd Martin Prosthetist 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 2012-07-09
Find all providers with the same taxonomy

Competitor

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City NORMAN
Zip Code 73069

Improve Information

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Dataset Information

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.

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