1. Home
  2. Directory
  3. Oklahoma
  4. Norman
  5. Prosthetist
  6. NPI Profile

ETHERIDGE PROSTHETICS LLC
NPI 1023490349
Prosthetist in Norman, OK

Active since June 23, 2015
2202 WESTPARK DR, SUITE A, NORMAN, OK 73069(405) 701-3733(405) 701-3752 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Etheridge Prosthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHERIDGE PROSTHETICS LLC (NPI 1023490349) is a healthcare organization registered as a prosthetist in Norman, Oklahoma and active in the NPI registry since June 2015. The organization lists William Robert Etheridge, Prosthetist, as its authorized official.

NPPES Registry Identity

NPI1023490349
Entity TypeOrganization
Primary Taxonomy224P00000X
Legal Business NameETHERIDGE PROSTHETICS LLC
Location Address2202 WESTPARK DR, SUITE ANorman, OK 73069-4033
Mailing Address2202 Westpark Dr, Suite ANorman, OK 73069-4033 · (405) 701-3733 · Fax (405) 701-3752
Phone(405) 701-3733
Fax(405) 701-3752
Organization SubpartNo
Authorized OfficialWilliam Robert EtheridgeProsthetist · (405) 323-6936
Enumeration DateJune 23, 2015
Last NPPES UpdateNovember 20, 2015
✔ NPI 1023490349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in OK · C21410
Definition
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.
2202 WESTPARK DR, Norman, OK 73069
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etheridge Prosthetics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20151123000022DME · Prosthetic PersonnelDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Etheridge Prosthetics LLC carries, from the Medicare DMEPOS supplier directory.

Etheridge Prosthetics LLC

DMEPOS supplier · Norman, OK
⋮

Does not accept Medicare assignment

Etheridge Prosthetics LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20481773
Medicare Participant SinceOctober 23, 2015
Supplier Location2202 Westpark Dr Ste ANorman, OK 73069
Phone(405) 701-3733
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Etheridge Prosthetics LLC's NPI number?

The NPI number for Etheridge Prosthetics LLC is 1023490349. It was assigned to this organization in the NPPES registry on June 23, 2015.

Where is Etheridge Prosthetics LLC located?

Etheridge Prosthetics LLC is located at 2202 Westpark Dr Suite A, Norman, OK 73069. The listed phone number is (405) 701-3733.

What is Etheridge Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Is Etheridge Prosthetics LLC enrolled in Medicare?

Yes. Etheridge Prosthetics LLC is registered in the Medicare PECOS enrollment system.

When is Etheridge Prosthetics LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oklahoma, Prosthetic Personnel) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Etheridge Prosthetics LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Etheridge Prosthetics LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Etheridge Prosthetics LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Etheridge Prosthetics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Etheridge Prosthetics LLC was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.