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

Ethan Thomas Nethery, MD

Individual provider Urology Physician · NPI 1265327555

Ethan Thomas Nethery, MD is an Urology Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 N 8th St Fl 3
Springfield, IL 62701-1041
Phone: (217) 545-3262
Fax: (217) 545-7305
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Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 125086230 (IL)

Record details

NPI number1265327555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing addressPo Box 19700, Springfield, IL 62794-9700

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