STEPHEN WARD ETHEREDGE (NPI# 1629212972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629212972 |
| Entity Type | Individual |
| Full Name | STEPHEN WARD ETHEREDGE |
| Credential | M.D. |
| Practice Address |
3600 Florida Blvd Baton Rouge LA 70806-3842 |
| Practice Telephone | 2253877707 |
| Practice Fax Number | 2253877872 |
| Mailing Telephone | 8505437308 |
| Mailing Fax Number | 2253877872 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | TRN 13458 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD.205635 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770694101 | Stephen Norfleet Etheredge | Surgery | 365 Hawthorne Ave, Ste 103, Oakland, CA 94609-3107 | 2006-08-31 |
| Street Address |
3600 FLORIDA BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140268 | Paul Dwayne Murphree | Internal Medicine | 3600 Florida Blvd, C/o Hmg Physicians, LLC, Baton Rouge, LA 70806-3842 | 2005-08-02 |
| 1619486453 | Baton Rouge General Medical Center | Clinic/Center | 3600 Florida Blvd, Baton Rouge, LA 70806 | 2017-09-25 |
| 1588194641 | Kristin Brooke Guidry | Nurse Practitioner | 3600 Florida Blvd, Baton Rouge, LA 70806-3842 | 2017-06-12 |
| 1972963791 | Children Speciality Centers of America LLC | Rehabilitation Hospital | 3600 Florida Blvd, 2nd Floor, Baton Rouge, LA 70806-3842 | 2016-03-07 |
| 1023491131 | Baton Rouge General Medical Center | Pharmacy | 3600 Florida Blvd, Baton Rouge, LA 70806-3842 | 2015-07-07 |
| 1598147670 | Chenna Reddy Nalabolu | Internal Medicine | 3600 Florida Blvd, Baton Rouge, LA 70806 | 2015-06-24 |
| 1750775177 | Yasmin Hajja | Student in an Organized Health Care Education/Training Program | 3600 Florida Blvd, Baton Rouge, LA 70806-3842 | 2015-03-24 |
| 1871996157 | Brandi Poole Flanagan | Nurse Practitioner | 3600 Florida Blvd, Baton Rouge, LA 70806-3842 | 2014-10-01 |
| 1124436290 | Lacey Courtade Hue | Registered Nurse | 3600 Florida Blvd, C/o Hmg Physicians At Br General, Baton Rouge, LA 70806-3842 | 2014-08-01 |
| 1154736270 | Vijay Neelam | Internal Medicine | 3600 Florida Blvd, Internal Medicine Residency Program, Baton Rouge, LA 70806-3842 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497768147 | Rani G Whitfield | Family Medicine | 429 East Airport Dr., Suite 4, Baton Rouge, LA 70806 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568851962 | University of Louisiana of Monroe | Family Medicine | 308 Warhawk Way, Monroe, LA 71209-0001 | 2015-01-22 |
| 1962474064 | Amanda Ruth Phillips-savoy | Family Medicine | 204 Energy Pkwy, Suite B, Lafayette, LA 70508-3816 | 2006-02-02 |
| 1538703335 | Center for Orthopaedics and Spine LLC | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-11-05 |
| 1861881435 | Nicholls State University | Family Medicine | 906 E 1st St, Thibodaux, LA 70301-6701 | 2015-01-20 |
| 1295155778 | Alex Anderson | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2014-04-23 |
| 1558658211 | Travis Steven Currie | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2011-07-01 |
| 1700065323 | The Bond Group | Family Medicine | 913 S College Rd, Suite 106, Lafayette, LA 70503-3060 | 2007-10-31 |
| 1790983807 | Brian Joseph Lindenmayer | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2007-07-10 |
| 1710184965 | The Bond Group, LLC | Family Medicine | 1101 S College Rd, Suite 201, Lafayette, LA 70503-3038 | 2007-06-29 |
| 1184745952 | Andrew William Gottschalk | Family Medicine | 1201 S Clearview Pkwy, Ste 104, Jefferson, LA 70121-1015 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.