DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN KENDALL ETHRIDGE JR., MD

Active

DR. JOHN KENDALL ETHRIDGE JR., MD is a Maternal & Fetal Medicine healthcare provider located in SPRINGFIELD, Missouri. NPI 1306042619 is currently active in the NPPES registry. Verify at CMS.

Maternal & Fetal Medicine · SPRINGFIELD, MO

Registration Details

NPI Number
1306042619
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2007 (19.169883541173 yrs)
Last Updated
Jul 10, 2018
Licenses
51003 (TN)
2018009510 (MO)
25614 (OK)

Practice Information

Address
1000 E PRIMROSE ST STE 360
SPRINGFIELD, MO, 65807
Browse MO providers · Browse ZIP 65807
Phone
4172694037
Fax
4172696139
Primary Specialty
Maternal & Fetal Medicine
207VM0101X
Additional Specialty
Maternal & Fetal Medicine
Additional Specialty
Obstetrics & Gynecology

Other Maternal & Fetal Medicine Providers in SPRINGFIELD, MO

Name Credential NPI
DR. SHAUN G LENCKI MD 1639167562
PATRICIA MARY DIX M.D. 1801906714
DR. JAMES F. MCCAUL MD 1326197997
DR. ROBERT F. FRASER II MD 1942342654
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.