Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy Ethridge, PA-C

Individual provider Medical Physician Assistant · NPI 1457911471

Timothy Ethridge, PA-C is a Medical Physician Assistant in Anchorage, Alaska. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5955 Zeamer Ave
Anchorage, AK 99506-3702
Phone: (907) 580-1711
Fax: (111) 111-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 — (850) 814-8470
  • 500 Fisher St, Biloxi, MS 39534-2502 — (228) 376-2273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457911471
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 20, 2019
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

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