OrganizationActive
Etheridge Prosthetics LLC
NPI 1023490349 · Prosthetist · Norman, OK
Provider details
- NPI number
- 1023490349
- Entity type
- Organization
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- William Etheridge, Prosthetist(405) 323-6936
- License
- C21410 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2202 Westpark Dr
Suite a
Norman, OK 73069-4033
Phone: (405) 701-3733
Fax: (405) 701-3752
Street-level locationGet directions
Mailing address
2202 Westpark Dr
Norman, OK 73069-4033
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2015-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.