Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457911471 Individual Practitioner Male Practitioner

Timothy Ethridge , PA-C

Physician Assistant • Anchorage, AK

Professional Overview & Biography Verified Profile Summary

Timothy Ethridge, PA-C is a registered healthcare professional specializing in Physician Assistant in Anchorage, AK. Practice services are available at 5955 ZEAMER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5955 Zeamer Ave

Anchorage, AK 995063702

Telephone 9075801711
Fax 1111111111
Associated Practice Facility / Clinic
🏢 Department Of Defense Facility NPI 1669898623

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Anchorage, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
251 Specialists

Practicing in Anchorage, AK (551 Statewide)

Telehealth Adoption Rate
19.5% 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

CMS Verified: 2024-07-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

500 Fisher St

Biloxi, MS 395342502

Phone: 2283762273

243 Curtiss Rd Ste 100

Barksdale Afb, LA 711102425

Phone: 8508148470

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Matthew Rosenstein , DC

Chiropractor - Rehabilitation

NPI 1104959824

Doctor of Chiropractic

Sabrina Kaiser , OTR

Occupational Therapist

NPI 1124370184

Occupational Therapist Registered

NPI 1184933921
Suzanne Gallant , RN

Registered Nurse - School

NPI 1568161552

Registered Nurse

Kristin Foltz , PTA

Physical Therapy Assistant

NPI 1619403904

Physical Therapist Assistant

John Duco

Student in an Organized Health Care Education/Training Program

NPI 1942726039

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location July 09, 2024

Registered at 5955 ZEAMER AVE, ANCHORAGE, AK 995063702 (Tel: 9075801711)

📍
Updated Business Mailing Address July 09, 2024

Registered at 5955 ZEAMER AVE, ANCHORAGE, AK 995063702 (Tel: 9075801711)

👤
Provider Name / Credentials Updated July 09, 2024

Recorded as TIMOTHY ETHRIDGE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2024

Physician Assistant

📍
Updated Practice Location February 28, 2020

Registered at 243 CURTISS RD STE 100, BARKSDALE AFB, LA 711102425 (Tel: 8508148470)

📍
Updated Business Mailing Address February 28, 2020

Registered at 243 CURTISS RD STE 100, BARKSDALE AFB, LA 711102425 (Tel: 8508148470)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2020

Physician Assistant

NPI Profile Active June 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2019

Registered at 500 FISHER ST, BILOXI, MS 395342502 (Tel: 2283762273)

📍
Updated Business Mailing Address June 20, 2019

Registered at 10519 SHORE CV, BILOXI, MS 395328058 (Tel: 8508148470)

👤
Provider Name / Credentials Updated June 20, 2019

Recorded as TIMOTHY ETHRIDGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 20, 2019

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: 1457911471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2019
Last Update: July 09, 2024
Sole Proprietor: Yes

Mailing Address

5955 Zeamer Ave

Anchorage, AK 995063702

Phone: 9075801711

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.