JEFF D ETHRIDGE M.D.
NPI 1154318095
Family Medicine in Bulverde,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 5, 2005

Contact Information

805 Kelly Creek Rd
Bulverde,
Post Code: 78163
Phone: (830) 980-1805
Fax: (830) 438-5662

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Jeff D Ethridge M.d. in Bulverde - Family Medicine

Jeff D Ethridge M.d. is a Family Medicine in Bulverde, . Jeff D Ethridge M.d. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeff D Ethridge M.d. is 1154318095. The last update date is 2020-08-21.

Jeff D Ethridge M.d.'s current location address is 805 Kelly Creek Rd, Bulverde, . You can contact this provider via phone number (830) 980-1805 and fax number (830) 438-5662. The mailing address for Jeff D Ethridge M.d. is 805 Kelly Creek Rd, Bulverde, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1154318095
Provider Name
JEFF D ETHRIDGE M.D.
Gender
Male
Entity Type
Individual
Location Address
805 Kelly Creek Rd, Bulverde,
Location Phone
(830) 980-1805
Location Fax
(830) 438-5662
Mailing Address
805 Kelly Creek Rd, Bulverde, Texas(TX)
Mailing Phone
830-980-1805
Mailing Fax
830-438-5662
Enumeration Date
2005-10-05
Last Update Date
2020-08-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
L6877
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207QH0002X Hospice and Palliative Medicine (Family Medicine) Physician

Family Medicine, Hospice and Palliative Medicine

L6877 (Texas)
2 208M00000X Hospitalist Physician

Hospitalist

L6877 (Texas)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
167684801 MEDICAID (05) Texas (TX)
167686808 MEDICAID (05) Texas (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154318095
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211046116018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 211046116018
2 + 1 + 1 + 0 + 4 + 6 + 1 + 1 + 6 + 0 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1154318095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910058 WESTHEIMER VISION ASSOCIATES, PC
Organization
Optometrist 10260 WESTHEIMER RD
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713-781-3517
1093718025 YODORINCMISSIONPLAZAPHARMACY
Organization
Durable Medical Equipment & Medical Supplies 906 S BRYAN RD
MISSION, Texas (TX)
956-581-8833
1093718033 TARRANT MEDICAL IMAGING, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1063415008 ARLINGTON MEDICAL IMAGING LLC
Organization
Physiological Laboratory 3025 MATLOCK RD
ARLINGTON, Texas (TX)
817-467-6099
1023011210 MAUREEN STANEK POLAKOWSKI
Individual
Nurse Practitioner 4835 LBJ FWY STE 900
DALLAS, Texas (TX)
844-941-3087