Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Jernigan, DO

Individual provider Emergency Medicine Physician · NPI 1790305456

Dr. Ethan Jernigan, DO is an Emergency Medicine Physician in Lawton, Oklahoma. Works from 3 locations. Licensed in Missouri and Oklahoma.

Licensed in
MO, OK
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone: (580) 355-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1423 N Jefferson Ave, Springfield, MO 65802-1917 — (417) 269-9812
  • 3801 S National Ave, Springfield, MO 65807-5210 — (417) 269-9812

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 7284 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2022048662 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790305456
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2020
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address3401 W Gore Blvd, Lawton, OK 73505-6332

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