| Cameron Keith Ethridge, APRN | |
|
2308b W Highway 66, Stroud, OK 74079-6729 | |
| (918) 968-4469 | |
| (918) 987-1622 |
| Full Name | Cameron Keith Ethridge |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 2308b W Highway 66, Stroud, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902361413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 121857 (Oklahoma) | Primary |
| Entity Name | Emergency Medicine Physicians of Tulsa County LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003098773 PECOS PAC ID: 8628140225 Enrollment ID: O20080626000116 |
| Entity Name | One Cura Family Clinic-anadarko, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841646114 PECOS PAC ID: 6507146677 Enrollment ID: O20161207000093 |
| Entity Name | Usacs Observation Medicine Services of Oklahoma, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326739111 PECOS PAC ID: 9931562956 Enrollment ID: O20230823004181 |
| Entity Name | Ies ER Oklahoma LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447148093 PECOS PAC ID: 5395234678 Enrollment ID: O20251028001154 |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Keith Ethridge, APRN Po Box 777, Stroud, OK 74079-0777 Ph: (918) 290-9216 | Cameron Keith Ethridge, APRN 2308b W Highway 66, Stroud, OK 74079-6729 Ph: (918) 968-4469 |
Joshua Watkins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2308 Ok-66, Stroud, OK 74834 Phone: 918-968-3571 |
Danielle B Cory, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 |
Mrs. Bethany Carolee Rollins, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 356110 E 930 Rd, Stroud, OK 74079 Phone: 918-968-9531 Fax: 800-830-0683 |
Kristie Michelle Mcguire, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 |
Jennifer Hinman, DNP-APRN-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308 W Highway 66 # B, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 |
Bronwyn L Howard, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 W Main St, Stroud, OK 74079 Phone: 918-987-0067 Fax: 918-987-0070 |
Dr. Daniel Hall, AQPRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2308 Ok-66, Stroud, OK 74079 Phone: 918-968-3579 |