HEBER CLARK ETHRIDGE JR. (NPI# 1881749489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881749489 |
| Entity Type | Individual |
| Full Name | HEBER CLARK ETHRIDGE JR. |
| Credential | MD |
| Practice Address |
1151 N State St Suite 311 Jackson MS 39202 |
| Mailing Address |
1151 N State St Suite 311 Jackson MS 39202-2407 |
| Practice Telephone | 6019691171 |
| Practice Fax Number | 6019691173 |
| Mailing Telephone | 6019691171 |
| Mailing Fax Number | 6019691173 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2010-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 08726 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00011327 | 05 |
| Street Address |
1151 N STATE ST SUITE 311 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003953 | Barry Whites | Internal Medicine | 1151 N State St, Ste 617, Jackson, MS 39202-2407 | 2005-06-16 |
| 1275182537 | Qianwen Williamson | Registered Nurse | 1151 N State St, Jackson, MS 39202-2407 | 2019-09-10 |
| 1982057592 | Deborah Fortenberry | Hearing Instrument Specialist | 1151 N State St, Suite 107, Jackson, MS 39202-2407 | 2016-07-19 |
| 1053729285 | Michael Garret Shumaker | Counselor | 1151 N State St, Jackson, MS 39202-2407 | 2014-07-31 |
| 1962823344 | Jackson Pain Center Pa | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202-2407 | 2014-01-02 |
| 1609137868 | Ellen C Lee | Nurse Practitioner | 1151 N State St, Suite 511, Jackson, MS 39202-2407 | 2012-06-05 |
| 1902032089 | Eric Welsh | Marriage & Family Therapist | 1151 N State St, Suite 212, Jackson, MS 39202-2407 | 2009-06-03 |
| 1659539351 | Medical Arts Dental Group P.a. | Dentist | 1151 N State St, Suite 401, Jackson, MS 39202-2407 | 2008-05-29 |
| 1750577805 | Live Oak Psychological Associtaes | Psychologist | 1151 N State St, Ste 212, Jackson, MS 39202-2407 | 2007-09-22 |
| 1154543627 | Sarah R. Guy | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417333527 | Felipe R Edghill | Anesthesiology | 131 Tucker St Ste 2, Jackson, TN 38301-4055 | 2015-07-31 |
| 1659779445 | Integrated Medical Staff of Jackson PC | Anesthesiology | 828 N Parkway, Jackson, TN 38305-3032 | 2014-12-11 |
| 1891134847 | Robert J. Hamernik | Anesthesiology | 14 Arlington Park, Jackson, MS 39211-2952 | 2013-06-21 |
| 1811231046 | Ruth Eleanor Dinkins | Anesthesiology | 388 Wellington Cv, Jackson, TN 38305-6609 | 2012-11-09 |
| 1679863633 | Michael Tyler Stout | Anesthesiology | 1151 N State St Ste 311, Jackson, MS 39202-2407 | 2011-04-12 |
| 1265763270 | William Daggett IIi | Anesthesiology | 2433 Massena Dr, Jackson, MS 39211-4923 | 2010-01-15 |
| 1457507055 | Jeremy Smitherman | Anesthesiology | 1190 N State St Ste 300, Jackson, MS 39202-2413 | 2008-08-14 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1902972235 | Myra A Wheaton | Anesthesiology | 1730 Bellewood Rd, Jackson, MS 39211-5701 | 2006-11-28 |
| 1922178318 | Vicki Lynn Chew | Anesthesiology | 223 Clinton Rd, Suite 204, Jackson, CA 95642-2680 | 2006-11-09 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on HEBER CLARK ETHRIDGE JR..
| 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.