ETHRIDGE PLASTIC SURGERY – NPI #1649438029
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

ETHRIDGE PLASTIC SURGERY is a surgeon located in FORT WORTH, TX. NPPES has assigned the NPI number 1649438029 to ETHRIDGE PLASTIC SURGERY on June 02, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ETHRIDGE PLASTIC SURGERY” is a dba name, the actual legal business name for this organization is RICHARD THOMAS ETHRIDGE MD. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 7 years ago on Feb 27, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHRIDGE PLASTIC SURGERY below.

NPI Profile for
RICHARD THOMAS ETHRIDGE MD

NPI Number
1649438029
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RICHARD THOMAS ETHRIDGE MD
Doing Business As (dba): ETHRIDGE PLASTIC SURGERY
Primary location
1622 8TH AVE
SUITE 130
FORT WORTH, TX 76104
Phone: (817) 921-5566 Fax: (817) 921-5567
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD ETHRIDGE
PHYSICIAN
Phone: (817) 921-5566
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 TX M5152

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.