Etheridge Prosthetics LLC
NPI 1023490349ActiveOrganization· Prosthetist· Norman, OK
Prosthetist in Norman, Oklahoma, registered in NPPES in June 2015. The authorized official on file is William Robert Etheridge, BOCP LP, Prosthetist. Enrolled in Medicare as dme supplier - prosthetic personnel.
Overview
| NPI | 1023490349 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2015 |
| Last updated in NPPES | Nov 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthetist Primary | 224P00000X | C21410 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Prosthetic Personnel (OK) |
|---|
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