Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jonathan Etheridge, M.D.

Emergency Medicine Physician in Lamar, MO · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063674661

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Registry record

Entity type Individual (Type 1)

Name Dr. Jonathan Etheridge

Credential M.D.

Sex Male

Practice address 29 Nw 1st Ln, Lamar, MO, 64759

Phone (417) 681-5100

Enumeration date Jun 26, 2008

Last updated in NPPES Apr 30, 2026

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 2012003246 (MO) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
440552485	Other	MO	TRICARE
1063674661	Medicaid	MO	-
P01119720	Other	MO	RR MCR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1063674661 active?

Yes, as of the latest NPPES snapshot, NPI 1063674661 is active (record last updated 2026-04-30).

How do I verify Jonathan Etheridge's NPI record?

Cross-check NPI 1063674661 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Barton County Memorial Hospital Critical Access Hospital · Lamar, MO NPI 1104801547 John Yannucci Family Medicine Physician · Lamar, MO NPI 1790760411 Julia Yaryan Certified Registered Nurse Anesthetist · Lamar, MO NPI 1821060914 Jimmy Pyron Emergency Medicine Physician · Lamar, MO NPI 1588629158 Joseph Wilson Family Medicine Physician · Lamar, MO NPI 1235169723 Stephen Tines Diagnostic Radiology Physician · Lamar, MO NPI 1457371072 John Willis Emergency Medicine Physician · Lamar, MO NPI 1215958012 Cary Marquis Physical Medicine & Rehabilitation Physician · Lamar, MO NPI 1801988159

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-30.