STEPHEN NORFLEET ETHEREDGE MD
NPI 1770694101
Surgery - Vascular Surgery in Oakland, CA

Q: What is Stephen Etheredge's NPI number?

The NPI number for Stephen Etheredge is 1770694101. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Stephen Etheredge's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Etheredge was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 31, 2006

365 HAWTHORNE AVE, STE 103, OAKLAND, CA 94609(510) 832-6131 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephen Norfleet Etheredge Md NPPES

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

STEPHEN NORFLEET ETHEREDGE MD (NPI 1770694101) is an individual vascular surgery provider in Oakland, California, licensed in California (C38647) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1770694101

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameSTEPHEN NORFLEET ETHEREDGECredential: MD

Location Address365 HAWTHORNE AVE, STE 103Oakland, CA 94609-3107

Mailing Address365 Hawthorne Ave, Ste 103Oakland, CA 94609-3107 · (510) 832-6131

Phone(510) 832-6131

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateMay 21, 2008

✔ NPI 1770694101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in CA · C38647

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

365 HAWTHORNE AVE, Oakland, CA 94609

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Other Identifiers 7

Medicare PIN230000724CA

Medicaid00C386470CA

Medicare PIN00C386470CA

Medicare UPINA36974CA

Medicare PIN760000205CA

Medicare PIN00C386472CA

Medicare PIN00C386471CA

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.

MR. HON FONG MD

Obstetrics & Gynecology (Gynecology)

365 HAWTHORNE AVE, SUITE 301
OAKLAND, CA 94609

Alameda County (510) 893-1700

ERIC L JOHNSON MD

Internal Medicine (Interventional Cardiology)

365 HAWTHORNE AVE, #201
OAKLAND, CA 94609

Alameda County (510) 452-1345

AARON PETERS PA-C

Physician Assistant (Surgical)

365 HAWTHORNE AVE
OAKLAND, CA 94609

Alameda County (510) 465-5523

AJAY KUMAR UPADHYAY MD

Surgery

365 HAWTHORNE AVE, STE 101
OAKLAND, CA 94609

Alameda County (510) 465-5523

RUPERT ROUPEN HOROUPIAN MD

Surgery

365 HAWTHORNE AVE, SUITE 101
OAKLAND, CA 94609

Alameda County (510) 465-5523

MR. THOMAS LEE HAMBRICK MD

Obstetrics & Gynecology

365 HAWTHORNE AVE, SUITE 301
OAKLAND, CA 94609

Alameda County (510) 893-1700

MR. EDWARD MARTIN BLUMENSTOCK MD

Obstetrics & Gynecology

365 HAWTHORNE AVE, STE 301
OAKLAND, CA 94609

Alameda County (510) 893-1700

MS. GOLDEE HANNAH GROSS MD

Obstetrics & Gynecology

365 HAWTHORNE AVE, STE 301
OAKLAND, CA 94609

Alameda County (510) 893-1700

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 Stephen Etheredge's NPI number?

The NPI number for Stephen Etheredge is 1770694101. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Stephen Etheredge located?

Stephen Etheredge practices at 365 Hawthorne Ave Ste 103, Oakland, CA 94609. The listed phone number is (510) 832-6131.

What is Stephen Etheredge's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Stephen Etheredge was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.