DR. ETHAN JERNIGAN


Address: 3401 W Gore Blvd, Lawton, OK 73505-6332
Phone: 5803558620

DR. ETHAN JERNIGAN (NPI# 1790305456) 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) 1790305456
Entity Type Individual
Full Name DR. ETHAN JERNIGAN
Credential DO
Practice Address 3401 W Gore Blvd
Lawton
OK 73505-6332
Practice Telephone 5803558620
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3401 W GORE BLVD
City LAWTON
State OK
Zip Code 73505-6332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295735777 Kathleen Marie Feeley Nurse Anesthetist, Certified Registered 3401 W Gore Blvd, Lawton, OK 73505-6332 2005-07-27
1437768280 Jordan Nixon Speech-Language Pathologist 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-07-28
1275151953 Tiffany Fletcher Legako Speech-Language Pathologist 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-07-09
1669094371 Jacob Aaron Fuller Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-05-15
1679195614 Kennan Dale Richards Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-05-13
1730701251 Shelby Madolyn Willis Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-05-07
1902427404 Christopher Raul Fernandez Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-05-06
1144840802 Lyndi Fisher Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-04-23
1629607320 Jordan Renee Price Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-04-04
1700415403 Hyemin April Kim Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-04-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134744006 Angela Janell Smith Case Manager/Care Coordinator 4904 Nw Smith Ave, Lawton, OK 73505 2020-06-16
1295383990 Akeemia Lorene Holder Case Manager/Care Coordinator Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 2019-08-27
1225685480 Healthstat Onsite Clinic Goodyear Vision Center Preventive Medicine 1 Goodyear Blvd, Lawton, OK 73505 2019-08-22
1891285300 Michael Anthony Gray Case Manager/Care Coordinator 2218 Nw 36th St, Lawton, OK 73505 2018-05-10
1841797362 Adeshola T Fatuyi Case Manager/Care Coordinator 7301 Sw Lee 635, Lawton, OK 73505 2018-04-11
1912425539 Heather Shea Morefield Case Manager/Care Coordinator 2712 Sw H Ave, Lawton, OK 73505 2017-09-04
1972031367 Burke Hendricks Emergency Medicine 3401 West Gore Boulevard, Lawton, OH 73505 2017-05-30
1932642279 Helery Vance Peer Specialist 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 2016-11-18
1629523436 Sebrina Sheppard Case Manager/Care Coordinator 3907 Sw Parkridge Blvd., Lawton, OK 73505 2016-08-22
1376913590 David Lee Atauvich Registered Nurse 1515 Lawrie Rd, Lawton, OK 73505 2015-09-30
Find all providers in zip 73505

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053949123 Shahbaz Ahmad Afzal Student in an Organized Health Care Education/Training Program 7108 Sw Angelwood Dr, Lawton, OK 73505-9613 2020-04-01
1043723257 Caitlin Cunningham Student in an Organized Health Care Education/Training Program 421 Nw 69th St, Lawton, OK 73505-5403 2017-11-09
1831602044 Brittany Diane Meredith Student in an Organized Health Care Education/Training Program 4001 Century Oaks Ln, Lawton, OK 73505-5066 2017-11-09
1023547510 Courtney Hill Student in an Organized Health Care Education/Training Program 5404 Sw Lee Blvd Ste 101, Lawton, OK 73505-9697 2017-06-08
1831587419 Katheryn Caffee Student in an Organized Health Care Education/Training Program 326 Ne Abshere Rd, Lawton, OK 73507-5825 2015-01-05
1700490570 Kristen Renee Molloy Student in an Organized Health Care Education/Training Program 4202 Sw Lee Blvd, Lawton, OK 73505-8300 2020-08-31
1669094371 Jacob Aaron Fuller Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-05-15
1679195614 Kennan Dale Richards Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-05-13
1730701251 Shelby Madolyn Willis Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-05-07
1902427404 Christopher Raul Fernandez Student in an Organized Health Care Education/Training Program 3401 W Gore Blvd, Lawton, OK 73505-6332 2020-05-06
Find all providers in LAWTON

Competitor

Search similar providers

City LAWTON
Zip Code 73505

Improve Information

Please comment or provide details below to improve the information on DR. ETHAN JERNIGAN.

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.

Trending Searches