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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224P00000X | Prosthetist | C21410 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
2202 WESTPARK DR SUITE A |
City | NORMAN |
State | OK |
Zip Code | 73069-4032 |
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 |
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 Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023490349 | Etheridge Prosthetics LLC | Prosthetist | 2202 Westpark Dr, Suite A, Norman, OK 73069-4033 | 2015-06-23 |
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 |
Please comment or provide details below to improve the information on WILLIAM ROBERT ETHERIDGE.
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.