DR. EUGENE WESLEY ETHERIDGE JR. (NPI# 1427168517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427168517 |
| Entity Type | Individual |
| Full Name | DR. EUGENE WESLEY ETHERIDGE JR. |
| Other Name | DR. GENE WESLEY ETHERIDGE JR. |
| Credential | DC |
| Practice Address |
631 South 25th Street Terre Haute IN 47803 |
| Mailing Address |
620 Woodbine Terre Haute IN 47803 |
| Practice Telephone | 8122328803 |
| Practice Fax Number | 8122328803 |
| Mailing Telephone | 8128770070 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001352 | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | AETNA | 5982232 | 01 |
| IN | ALL OTHERS | 08001352 | 01 |
| IN | ANTHEM BLUE CROSS BLUE SH | 000000093143 | 01 |
| Street Address |
631 SOUTH 25TH STREET |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404940 | Union Associated Physicians Clinic LLC | Family Medicine | 2133 South State Road 46, Terre Haute, IN 47803 | 2019-08-28 |
| 1811435209 | Jon Sagarsee | Specialist/Technologist | 613 Gardendale Rd., Terre Haute, IN 47803 | 2017-02-06 |
| 1184086662 | Nicholas Andreasen | Specialist/Technologist | 614 S Dobbs Glen St, Terre Haute, IN 47803 | 2016-03-24 |
| 1568833960 | Dawn D Christmas | Pharmacist | 5600 New Margaret Ave, Terre Haute, IN 47803 | 2015-10-12 |
| 1902277437 | Erin Haggart | Pharmacist | 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 | 2015-10-09 |
| 1508272881 | Shirish Sachdeva | Physical Therapist | 5506 E New Margaret Dr, Terre Haute, IN 47803 | 2014-07-07 |
| 1043634041 | Jed Arseneau | Specialist/Technologist | 928 Barton Avenue, Terre Haute, IN 47803 | 2014-02-11 |
| 1689978389 | Affordable Dentures - Terre Haute, P.C. | Dentist | 2801 South Anton Road, Affordable Dentures - Terre Haute, P.C., Terre Haute, IN 47803 | 2011-01-10 |
| 1003003534 | Etheridge Chiropractic Clinic Inc | Chiropractor | 631 S 25th Street, Terre Haute, IN 47803 | 2007-09-28 |
| 1922197599 | David Edward Cox | Dentist | 2510 Hulman St, Terre Haute, IN 47803 | 2006-10-12 |
| Find all providers in zip 47803 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750641130 | Premier Practice Development Inc Health Source of Savannah | Chiropractor | 4282 Cart Path, Terre Haute, IN 47802-8161 | 2012-05-21 |
| 1669739199 | James L Roshel | Chiropractor | 4251 S 7th St, Terre Haute, IN 47802-4367 | 2012-04-23 |
| 1467750463 | Stephanie S Anderson | Chiropractor | 1549 Fort Harrison Rd, Terre Haute, IN 47804-1332 | 2011-03-01 |
| 1841500584 | Healing Hands Chiropractic | Chiropractor | 4532 S Redwood St, Terre Haute, IN 47802-4536 | 2010-10-15 |
| 1003003534 | Etheridge Chiropractic Clinic Inc | Chiropractor | 631 S 25th Street, Terre Haute, IN 47803 | 2007-09-28 |
| 1972796316 | Christi Jean Houtz | Chiropractor | 17 S 6th St, Terre Haute, IN 47807-3510 | 2007-08-20 |
| 1437280674 | Edward O Barksdale | Chiropractor | 2955 S 13th St, Terre Haute, IN 47802-3211 | 2007-03-08 |
| 1053459628 | Stephen L Price | Chiropractor | 3128 Poplar St, Terre Haute, IN 47803-2665 | 2007-02-03 |
| 1255361713 | Michael A Toney | Chiropractor | 1815 S 3rd St, Terre Haute, IN 47802-1919 | 2006-07-03 |
| 1598794083 | Jon Anthony Bradbury | Chiropractor | 3498 S 4th St, Terre Haute, IN 47802-4168 | 2006-06-30 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47803 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.