Richard Kim Etheredge (NPI# 1780795294, PAC ID# 3476524505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1780795294 |
| PAC ID by PECOS | 3476524505 |
| Professional Enrollment ID | I20120222000512 |
| Full Name | Richard Kim Etheredge |
| Organization Legal Name | ETHEREDGE CHIROPRACTIC PA |
| Address |
910 Old Camp Rd Bldg 110 The Villages FL 32162-7750 |
| Phone Number | 3527501200 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1987 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0042281172 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3261 A Us Hwy 27 441, Fruitland Park, FL 34731-4477 | 3523651191 | ETHEREDGE CHIROPRACTIC PA |
| 910 Old Camp Rd, Bldg 110, The Villages, FL 32162-7750 | 3527501200 | ETHEREDGE CHIROPRACTIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 80% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 50% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 49% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Organization Legal Name | ETHEREDGE CHIROPRACTIC PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Paul | Chiropractic | Etheredge Chiropractic Pa | 910 Old Camp Rd, Bldg 110, The Villages, FL 32162-7750 |
| Street Address |
910 OLD CAMP RD BLDG 110 |
| City | THE VILLAGES |
| State | FL |
| Zip | 32162-7750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Rae Richardson | Nurse Practitioner | Citrus Cardiology Consultants Pa | 910 Old Camp Rd, Suite 210, The Villages, FL 32162-5605 |
| Astrid Louis | Nurse Practitioner | Sinai Internal Medicine Specialists | 910 Old Camp Rd, Suite 144, The Villages, FL 32162-5609 |
| Lisa A Lavoie | Physician Assistant | Vascular Center of Orlando, P.a. | 910 Old Camp Rd, Suite 162, The Villages, FL 32162-5609 |
| Brittany K Nagy | Interventional Radiology | Lake Medical Imaging and Breast Center At The Villages LLC | 910 Old Camp Rd, Suite 120, The Villages, FL 32162-5605 |
| Kristin N Debusk | Nurse Practitioner | Sinai Internal Medicine Specialists | 910 Old Camp Rd, Suite 144, The Villages, FL 32162-5609 |
| Nannette G Wilson | Nurse Practitioner | Vascular Center of Orlando, P.a. | 910 Old Camp Rd, Suite 162, The Villages, FL 32162-5609 |
| John A Cowin | Orthopedic Surgery | Lco Group Pa | 910 Old Camp Rd, Suite 112, The Villages, FL 32162-5605 |
| Jennifer N Paul | Chiropractic | Etheredge Chiropractic Pa | 910 Old Camp Rd, Bldg 110, The Villages, FL 32162-7750 |
| Thomas J Shen | Allergy/immunology | Allergy Asthma and Immunology Center, Inc | 910 Old Camp Rd, Suite 152, The Villages, FL 32162-5605 |
| Julie A Kunitser | Physician Assistant | Vascular Center of Orlando, P.a. | 910 Old Camp Rd, Suite 162, The Villages, FL 32162-5609 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda L Satterlee | Family Practice | The Villages Health System LLC | 8877 Mulberry Ln, Se165th, The Villages, FL 32162 |
| Craig Gage | Family Practice | The Villages Health System LLC | 8877 Mulberry Ln, Se165th, The Villages, FL 32162 |
| Jamie Kinsey | Physician Assistant | The Villages Health System LLC | 8877 Mulberry Ln, Se165th, The Villages, FL 32162 |
| Renee C Tapasak | Clinical Psychologist | The Villages Health System LLC | 8877 Mulberry Ln, Se165th, The Villages, FL 32162 |
| Susan A Klein | Diagnostic Radiology | Radiology Associates of South Florida LLC | 853 Southshore Ln, The Villages, FL 32162-1701 |
| Ashley L Wood | Family Medicine | The Villages Health System LLC | 1050 Old Camp Rd, The Villages, FL 32162-1762 |
| Bonni Lynn Macqueen | Nurse Practitioner | Cardiac and Vascular Consultants Md Pa | 1050 Old Camp Rd, Suite 270, The Villages, FL 32162-1762 |
| Crystal L Hoffert | Optometry | St Lukes At The Villages Pa | 1050 Old Camp Rd, Bldg 230, The Villages, FL 32162-1762 |
| James B Pate | Nurse Practitioner | Cardiac and Vascular Consultants Md Pa | 1050 Old Camp Rd, Suite 270, The Villages, FL 32162-1762 |
| Lucille Anne Rathier | Psychologist, Clinical | The Villages Health System LLC | 1050 Old Camp Rd, The Villages, FL 32162-1762 |
| Find all physicians in zip 32162 | |||
| City | THE VILLAGES |
| Zip Code | 32162 |
| Specialty | CHIROPRACTIC |
| City + Specialty | THE VILLAGES + CHIROPRACTIC |
Please comment or provide details below to improve the information on Richard Kim Etheredge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.