ETHERIDGE PROSTHETICS LLC
NPI 1023490349
Prosthetist in Norman, OK

NPI Status: Active since June 23, 2015

Contact Information

2202 WESTPARK DR
SUITE A
NORMAN, OK
ZIP 73069
Phone: (405) 701-3733
Fax: (405) 701-3752

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  • Organization
  • Prosthetist
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About ETHERIDGE PROSTHETICS LLC

This page provides the complete NPI Profile along with additional information for Etheridge Prosthetics Llc, a provider established in Norman, Oklahoma operating as a Prosthetist. The healthcare provider is registered in the NPI registry with number 1023490349 assigned on June 2015. The practitioner's primary taxonomy code is 224P00000X with license number C21410 (OK). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is William Robert Etheridge Bocp Lp (Prosthetist)

NPI
1023490349
Provider Name
ETHERIDGE PROSTHETICS LLC
Entity Type
Organization
Location Address
2202 WESTPARK DR SUITE A NORMAN, OK 73069
Location Phone
(405) 701-3733
Location Fax
(405) 701-3752
Mailing Address
2202 WESTPARK DR SUITE A NORMAN, OK 73069
Mailing Phone
(405) 701-3733
Mailing Fax
(405) 701-3752
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2015
Last Update Date
11-20-2015
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Etheridge Prosthetics Llc is a medicare supplier with PTAN 20481773 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Limb Prostheses.

Location Map

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

Prosthetist

Taxonomy Code
224P00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
C21410
License State
OK
Taxonomy Description
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM ROBERT ETHERIDGE BOCP LP

Authorized Official Title
PROSTHETIST
Authorized Official Phone
(405) 323-6936

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20481773
Accepts Medicare Assignment
NO
Specialities List
Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees

Reviews for ETHERIDGE PROSTHETICS LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023490349, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 8 + 9 + 0 + 3 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1023490349.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Prosthetist
2202 WESTPARK DR, SUITE A
NORMAN, OK 73069

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023490349, enumerated as an "organization" on June 23, 2015.

The provider is located at 2202 WESTPARK DR SUITE A NORMAN, OK 73069 and the phone number is (405) 701-3733.

Prosthetist with taxonomy code 224P00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.