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TIMOTHY ETHRIDGE PA-C
NPI 1457911471
Physician Assistant in Anchorage, AK

Active since June 20, 2019
5955 ZEAMER AVE, ANCHORAGE, AK 99506(907) 580-1711(111) 111-1111 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Feb 28, 2020, Jun 20, 2019 (3 updates tracked since 2019).

About Timothy Ethridge Pa-c NPPES

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

TIMOTHY ETHRIDGE PA-C (NPI 1457911471) is an individual physician assistant in Anchorage, Alaska and active in the NPI registry since June 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457911471
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY ETHRIDGECredential: PA-C
Location Address5955 ZEAMER AVEAnchorage, AK 99506-3702
Mailing Address5955 Zeamer AveAnchorage, AK 99506-3702 · (907) 580-1711 · Fax (111) 111-1111
Phone(907) 580-1711
Fax(111) 111-1111
Sole ProprietorYes
Enumeration DateJune 20, 2019
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1457911471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5955 ZEAMER AVE, Anchorage, AK 99506
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Secondary Practice Locations 2

Location 1500 Fisher StBiloxi, MS 39534-2502 · Phone (228) 376-2273
Location 2243 Curtiss Rd Ste 100Barksdale AFB, LA 71110-2425 · Phone (850) 814-8470 ext. 85081

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.

DR. AUDREA DONETA WILLIAMS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6552
DR. IAN CIRASUNDA DETTMAN PHARMD
Pharmacist
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6800
DR. BRIAN G ROGERS MD
Emergency Medicine
5955 ZEAMER AVE, 3RD MD6
ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-5555
MS. MONIQUE CELINE GASSEK ATC
Specialist/Technologist (Athletic Trainer)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Anchorage Municipality (603) 915-7141
RACHELLE GOEBEL
Dietitian, Registered
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-4050
DR. DAVID JOSEPH SHAW D.O.
Internal Medicine (Cardiovascular Disease)
5955 ZEAMER AVE, 673D MDG
JBER ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-1011
ELDON SNYDER D.O.
Radiology (Diagnostic Radiology)
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6760
DR. KIMPREET KAUR
Anesthesiology (Pain Medicine)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-7246

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 Timothy Ethridge's NPI number?

The NPI number for Timothy Ethridge is 1457911471. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Timothy Ethridge located?

Timothy Ethridge practices at 5955 Zeamer Ave, Anchorage, AK 99506. The listed phone number is (907) 580-1711.

What is Timothy Ethridge's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Timothy Ethridge was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.