Richard Thomas Ethridge MD
NPI 1649438029ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Fort Worth, TX
Surgery, Plastic and Reconstructive Surgery in Fort Worth, Texas, registered in NPPES in June 2008. The authorized official on file is Richard Thomas Ethridge, MD, Physician.
Overview
| NPI | 1649438029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2008 |
| Last updated in NPPES | Feb 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | M5152 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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