1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Surgery
  6. NPI Profile

ETHRIDGE PLASTIC SURGERY
NPI 1649438029
Surgery - Plastic and Reconstructive Surgery in Fort Worth, TX

Active since June 02, 2008
1622 8TH AVE, SUITE 130, FORT WORTH, TX 76104(817) 921-5566(817) 921-5567 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethridge Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHRIDGE PLASTIC SURGERY (NPI 1649438029) is a healthcare organization registered as a plastic and reconstructive surgery in Fort Worth, Texas and active in the NPI registry since June 2008. The organization lists Richard Thomas Ethridge, Physician, as its authorized official.

NPPES Registry Identity

NPI1649438029
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameRICHARD THOMAS ETHRIDGE MD
Location Address1622 8TH AVE, SUITE 130Fort Worth, TX 76104
Mailing Address1622 8th Ave, Suite 130Fort Worth, TX 76104
Phone(817) 921-5566
Fax(817) 921-5567
Organization SubpartNo
Authorized OfficialRichard Thomas EthridgePhysician · (817) 921-5566
Enumeration DateJune 2, 2008
Last NPPES UpdateFebruary 27, 2019
✔ NPI 1649438029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · M5152
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1622 8TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Names 1

Doing Business AsEthridge Plastic Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK WALSH MD PROFESSIONAL ASSOCIATION
Dermatology
1622 8TH AVE, 120
FORT WORTH, TX 76104
Tarrant County (817) 923-8220
DR. ANDREW CARTER THOMAS DO
Internal Medicine
1622 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Thomas Ethridge MD's NPI number?

The NPI number for Richard Thomas Ethridge MD is 1649438029. It was assigned to this organization in the NPPES registry on June 2, 2008. The provider is doing business as Ethridge Plastic Surgery.

Where is Richard Thomas Ethridge MD located?

Richard Thomas Ethridge MD is located at 1622 8th Ave Suite 130, Fort Worth, TX 76104. The listed phone number is (817) 921-5566.

What is Richard Thomas Ethridge MD's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Richard Thomas Ethridge MD was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.