IndividualActive
John Ethridge, MD
NPI 1306042619 · Maternal & Fetal Medicine Physician · Springfield, MO
Provider details
- NPI number
- 1306042619
- Entity type
- Individual
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 51003 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1000 E Primrose St Ste 360
Springfield, MO 65807
Phone: (417) 269-4037
Fax: (417) 269-6139
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4046
Springfield, MO 65808-4046
Registry dates
- Enumerated
- 2007-06-23
- Last updated
- 2018-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.