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Dr. John Kendall Ethridge JR.

Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine

1000 E Primrose St Ste 360
Springfield , Missouri 65807

Write a Review Save Call QR Code

(417) 269-7567

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Dr. John Kendall Ethridge JR.

Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine

1000 E Primrose St Ste 360
Springfield , Missouri 65807

(417) 269-7567

Write a Review Save Call

Dr. John Kendall Ethridge JR.

Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine

1000 E Primrose St Ste 360
Springfield , Missouri 65807

(417) 269-7567 Call

Write a Review Save
About
Location
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Dr. John Kendall Ethridge JR.
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Obstetrician & Gynecologist
  • Gynecologist - Maternal & Fetal Medicine

Languages spoken

  • English

Location

1000 E Primrose St Ste 360 Springfield , Missouri 65807
Get Directions

First Address

  • Dr. John Kendall Ethridge JR.
  • Po Box 4046
  • Springfield, MO
  • Zip : 65808-4046
  • Fax : (417) 269-7567
  • Phone : (417) 269-5712

Second Address

  • Dr. John Kendall Ethridge JR.
  • 1000 E Primrose St Ste 360
  • Springfield, MO
  • Zip : 65807
  • Fax : (417) 269-6139
  • Phone : (417) 269-4037

Reviews

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FAQs

Where did Dr. John Kendall Ethridge JR. attend graduate school?

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Where did Dr. John Kendall Ethridge JR. do his residency?

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Where did Dr. John Kendall Ethridge JR. do his fellowship?

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Is Dr. John Kendall Ethridge JR. board certified?

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What type of doctor is Dr. John Kendall Ethridge JR.

Gynecologist - Maternal & Fetal Medicine

In what state does Dr. John Kendall Ethridge JR. practice in?

Missouri

Where is Dr. John Kendall Ethridge JR.’s practice located?

1000 E Primrose St Ste 360 , Springfield, Missouri, 65807

What is Dr. John Kendall Ethridge JR.’s gender?

Male

Is Dr. John Kendall Ethridge JR. a sole practitioner?

No

Is Dr. John Kendall Ethridge JR. accepting new patients?

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What languages does Dr. John Kendall Ethridge JR. speak?

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Does Dr. John Kendall Ethridge JR. accept insurance?

Yes, Dr. John Kendall Ethridge JR. accepts insurance

Does Dr. John Kendall Ethridge JR. offers telemedicine?

Dr. John Kendall Ethridge JR. has not indicated if he offers telemedicine

What is Dr. John Kendall Ethridge JR.’s professional license number?

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What is Dr. John Kendall Ethridge JR.’s NPI number?

1306042619

Does Dr. John Kendall Ethridge JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207V00000X Obstetrician & Gynecologist 25614 OK
Y 207VM0101X Gynecologist - Maternal & Fetal Medicine 2018009510 MO
N 207VM0101X Gynecologist - Maternal & Fetal Medicine 51003 TN

National Provider Identifier

NPI 1306042619
Provider Name Dr. John Kendall Ethridge JR.
First Address Springfield, MO 65808-4046
Second Address Springfield, MO 65807
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 23/06/2007
Last Update Date 10/07/2018

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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