Timothy Ethridge, PA-C
NPI 1457911471 · Physician Assistant · Anchorage, AK
Timothy Ethridge, PA-C is a Physician Assistant provider in Anchorage, AK (NPI 1457911471).
Provider details
- NPI number
- 1457911471
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 243 Curtiss Rd Ste 100Barksdale Afb, LA 71110-2425Phone: (850) 814-8470
- 500 Fisher StBiloxi, MS 39534-2502Phone: (228) 376-2273
Registry dates
- Enumerated
- 2019-06-20
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Timothy Ethridge's NPI number?
- Timothy Ethridge's National Provider Identifier (NPI) is 1457911471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Ethridge's specialty?
- Timothy Ethridge is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Timothy Ethridge located?
- Timothy Ethridge's practice location on file with NPPES is 5955 Zeamer Ave, Anchorage, AK 99506-3702.
- What is Timothy Ethridge's phone number?
- The practice phone number listed in the NPPES registry for Timothy Ethridge is (907) 580-1711.
- Is Timothy Ethridge's NPI active?
- Yes — Timothy Ethridge's NPI (1457911471) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.