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Jason Etheredge, MD, PHD
NPI 1053517573 · Psychiatry Physician · Wichita, KS
Jason Etheredge, MD, PHD is a Psychiatry Physician provider in Wichita, KS (NPI 1053517573).
Provider details
- NPI number
- 1053517573
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 046821 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1010 N Kansas St
Wichita, KS 67214-3124
Phone: (316) 268-5000
Street-level locationGet directions
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2008-03-18
Frequently asked questions
- What is Jason Etheredge's NPI number?
- Jason Etheredge's National Provider Identifier (NPI) is 1053517573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Etheredge's specialty?
- Jason Etheredge is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Jason Etheredge located?
- Jason Etheredge's practice location on file with NPPES is 1010 N Kansas St, Wichita, KS 67214-3124.
- What is Jason Etheredge's phone number?
- The practice phone number listed in the NPPES registry for Jason Etheredge is (316) 268-5000.
- Is Jason Etheredge's NPI active?
- Yes — Jason Etheredge's NPI (1053517573) is active in the NPPES registry as of the last update on 2008-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.