Ethridge Group Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

101502 Issued in TX

Legal business name

ETHRIDGE GROUP INC

Practice address

10301 Northwest Fwy Ste 205
Houston, TX 77092-8225

Phone

(281) 445-7616

Fax

(713) 957-3200

NPI assigned

Sep 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-7080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1316255003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 NORTHWEST FWY STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928225",
            "telephone_number": "281-445-7616",
            "fax_number": "713-957-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHRIDGE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-7080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "101502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285396201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethicus Healthcare Management
• Ethos Prism, LLC (Ethos Wellness)
• Ethos Toxicology LLC
• Ethos Wellness & Management LLC (Pathway Care Group)
• Yvette M Ethredge, NP
• Ethridge Medical Services
• Ethridge Medical Services
• Martha J Ethridge
• Ernst Etienne, P.A.
• Ntahoturi Etienne

• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.