NPI
Jonathan Etheridge
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2008-06-26
- Last updated
- 2026-04-30
Specialties
Licenses
- License MO
- 2012003246
Location
- Practice location
- 29 Nw 1st Ln
- City
- Lamar MO
- Postal code
- 64759-8105
- Phone
- (417) 681-5100
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Lamar, MO. 123 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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