Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619363835 Individual Practitioner Male Practitioner

William Robert Etheridge , BOC LP

Prosthetist • Norman, OK

Professional Overview & Biography Verified Profile Summary

William Etheridge, BOC LP is a registered healthcare professional specializing in Prosthetist in Norman, OK. Practice services are available at 2202 WESTPARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2202 Westpark Dr
Suite A

Norman, OK 730694032

Telephone 4057013733
Fax 4057013752
Associated Practice Facility / Clinic
🏢 Etheridge Prosthetics Llc Facility NPI 1023490349

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Norman, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Norman, OK (40 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License OK C21410

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sherry Ford , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1457389462

Licensed Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2015

Registered at 2202 WESTPARK DR, SUITE A, NORMAN, OK 730694032 (Tel: 4057013733)

📍
Updated Business Mailing Address June 23, 2015

Registered at 2202 WESTPARK DR, SUITE A, NORMAN, OK 730694032 (Tel: 4057013733)

👤
Provider Name / Credentials Updated June 23, 2015

Recorded as WILLIAM ETHERIDGE, BOC LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2015

Prosthetist (License #C21410 in OK)

🟢
Initial NPI Registration & Enumeration April 14, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619363835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2015
Last Update: June 23, 2015
Sole Proprietor: Yes

Mailing Address

2202 Westpark Dr, Suite A

Norman, OK 730694032

Phone: 4057013733

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.