Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN JERNIGAN, DO
ActiveDR. ETHAN JERNIGAN, DO is a Emergency Medicine healthcare provider located in LAWTON, Oklahoma. NPI 1790305456 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · LAWTON, OK
Registration Details
- NPI Number
- 1790305456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2020 (6.1222130163256 yrs)
- Last Updated
- Aug 11, 2025
- Licenses
-
2022048662 (MO)7284 (OK)
Practice Information
- Address
-
3401 W GORE BLVDLAWTON, OK, 735056332Browse OK providers · Browse ZIP 73505
- Phone
- 5803558620
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in LAWTON, OK
| Name | Credential | NPI |
|---|---|---|
| ASHRAF R MIHANNI | MD | 1386630770 |
| DR. CHARLES L SORENSON | M.D. | 1669412573 |
| DR. JEFFREY GOLIGHTLY | M.D. | 1568406767 |
| TARA VAN DRUNEN | M.D. | 1598787442 |
| DR. CHARLES T DODSON | DO | 1689681454 |
| DR. MANUEL DELAROSA | MD | 1104833201 |
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.