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SHELBY TYRUS ETHRIDGE RT (R) (CT)
NPI 1073002630
Radiology - Diagnostic Radiology in Cincinnati, OH

Active since May 08, 2018
3200 VINE ST, CINCINNATI, OH 45220(513) 861-3100 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelby Tyrus Ethridge Rt (r) (ct) NPPES

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

SHELBY TYRUS ETHRIDGE RT (R) (CT) (NPI 1073002630) is an individual diagnostic radiology provider in Cincinnati, Ohio, licensed in Ohio (R8859300) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1073002630
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSHELBY TYRUS ETHRIDGECredential: RT (R) (CT)
Location Address3200 VINE STCincinnati, OH 45220-2213
Mailing Address3355 Bauerwood DrCincinnati, OH 45251-2911 · (513) 207-2111
Phone(513) 861-3100
Sole ProprietorNo
Enumeration DateMay 8, 2018
✔ NPI 1073002630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OH · R8859300
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3200 VINE ST, Cincinnati, OH 45220
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY TURNER
Physical Therapist
3200 VINE ST, REHABILITATION CARE LINE
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
MS. CYNTHIA ANN MALLOY RD
Dietitian, Registered
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
CHRISTOPHER GREGORY FLOYD M.S., M.A.
Psychologist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
DR. ROBIN H. VANDIVIER-PLETSCH M.D.
Internal Medicine (Cardiovascular Disease)
3200 VINE ST, CARDIOLOGY SECTION (111C)
CINCINNATI, OH 45220
Hamilton County (513) 475-6383
RACHELLE ANN SEKERKA PHD
Psychologist
3200 VINE ST, 116B
CINCINNATI, OH 45220
Hamilton County (513) 475-6402
MRS. LESA JANE HORNBACH RPH
Pharmacist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
MR. MICHAEL PAUL LAGERSTRAND SR. CO
Specialist (Prosthetics Case Management)
3200 VINE ST, 539/121
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
KATELYN MCBRIDE PHARMD, RPH
Pharmacist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100

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 Shelby Ethridge's NPI number?

The NPI number for Shelby Ethridge is 1073002630. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Shelby Ethridge located?

Shelby Ethridge practices at 3200 Vine St, Cincinnati, OH 45220. The listed phone number is (513) 861-3100.

What is Shelby Ethridge's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Shelby Ethridge was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.