Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN WARD ETHEREDGE, M.D.
Active Sole ProprietorSTEPHEN WARD ETHEREDGE, M.D. is a Sports Medicine healthcare provider located in BATON ROUGE, Louisiana. NPI 1629212972 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · BATON ROUGE, LA
Registration Details
- NPI Number
- 1629212972
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2009 (17.248292222023 yrs)
- Last Updated
- Aug 26, 2022
- Licenses
-
TRN 13458 (FL)MD.205635 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8080 BLUEBONNET BLVD STE 1000BATON ROUGE, LA, 708107827Browse LA providers · Browse ZIP 70810
- Phone
- 2259242424
- Fax
- 2254087980
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in BATON ROUGE, LA
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY MARK BURNHAM | MD | 1295729481 |
| DR. RANI G WHITFIELD | M.D. | 1497768147 |
| DR. DONALD C. CARSON | D.O. | 1245595040 |
| JAMES MICHAEL ROBINSON | M.D. | 1073991535 |
| ANTHONY JOHNSON II | MD | 1699201434 |
| KELECHI UGOCHI AKAMIRO | MD | 1396302246 |
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.