Individual provider

John Ethridge, MD

Maternal & Fetal Medicine Physician Obstetrics & Gynecology Physician Medicare enrolled

John Ethridge, MD is a Maternal & Fetal Medicine Physician in Springfield, MO, registered under NPI 1306042619. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1000 E PRIMROSE ST STE 360, Springfield, MO 65807. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1000 E PRIMROSE ST STE 360, Springfield, MO 65807 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2018009510 MO Maternal & Fetal Medicine Physician primary
51003 TN Maternal & Fetal Medicine Physician
25614 OK Obstetrics & Gynecology Physician

Licences are recorded in 3 states: MO, TN, OK. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
5496939894

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Missouri, Oklahoma and Tennessee. The practice address on file is in Springfield, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MO Missouri practice address
Licence
2018009510
Specialty
Maternal & Fetal Medicine Physician
Verify with the MO board →
OK Oklahoma
Licence
25614
Specialty
Obstetrics & Gynecology Physician
Verify with the OK board →
TN Tennessee
Licence
51003
Specialty
Maternal & Fetal Medicine Physician
Verify with the TN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Maternal & Fetal Medicine covers

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. NUCC Health Care Provider Taxonomy, code 207VM0101X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology Maternal & Fetal Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207VM0101X Maternal & Fetal Medicine Physician Maternal & Fetal Medicine 2018009510 MO primary
207VM0101X Maternal & Fetal Medicine Physician Maternal & Fetal Medicine 51003 TN
207V00000X Obstetrics & Gynecology Physician 25614 OK

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1306042619 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 23, 2007
Last updatedJul 10, 2018
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1000 E PRIMROSE ST STE 360
Springfield, MO 65807
(417) 269-4037
Fax (417) 269-6139
Mailing address PO BOX 4046
Springfield, MO 65808
This record was last updated on Jul 10, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1306042619 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 0 6 0 4 2 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 0 6 0 4 4 6 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1306042619?
NPI 1306042619 is the National Provider Identifier assigned to John Ethridge, MD in Springfield, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Maternal & Fetal Medicine cover?
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the…
How do I contact John Ethridge, MD?
The phone number on file with NPPES is (417) 269-4037, last updated Jul 10, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does John Ethridge, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1306042619 a valid number?
Yes. 1306042619 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.