DR. RICHARD THOMAS ETHRIDGE (NPI# 1013108299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013108299 |
| Entity Type | Individual |
| Full Name | DR. RICHARD THOMAS ETHRIDGE |
| Credential | MD |
| Practice Address |
1100 Poudre River Dr Unit A Fort Collins CO 80524-3557 |
| Mailing Address |
151 Southhall Ln Ste 300 Maitland FL 32751-7172 |
| Practice Telephone | 9704846303 |
| Practice Fax Number | 7048430369 |
| Mailing Telephone | 9704846303 |
| Mailing Fax Number | 9704843036 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
DR.0063642 | CO | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
M5152 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MYUTMB 768289543 | 768289543 | 01 |
| Street Address |
1100 POUDRE RIVER DR UNIT A |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710370648 | Advanced Dermatology of Colorado, PC | Dermatology | 1100 Poudre River Dr Unit A, Fort Collins, CO 80524-3557 | 2015-03-17 |
| 1407014087 | Katherine Sue Messner | Pathology | 1100 Poudre River Dr Unit A, Fort Collins, CO 80524-3557 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619158136 | Aaron Patick Frye | Surgery | 2315 E Harmony Rd Ste 160, Fort Collins, CO 80528-8620 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970265 | Peak Plastic Surgery Center, PC | Surgery | 4500 E Cherry Creek South Dr Ste 425, Denver, CO 80246-1518 | 2019-12-23 |
| 1790004612 | Medvacation LLC | Surgery | 2340 Curtis Street Unit #3, Denver, CO 80205 | 2010-05-18 |
| 1346421179 | John R. Burroughs Md PC | Surgery | 300 Garden of The Gods, Ste. 100, Colorado Springs, CO 80907 | 2007-11-20 |
| 1336330653 | Dianne C. Leeb | Surgery | 31-n Wildflower Place, Edwards, CO 81632 | 2007-08-05 |
| 1891906996 | Thomas William Fawell | Surgery | 26781 E. Clifton Dr., Aurora, CO 80016 | 2007-05-24 |
| 1841322674 | Joyce Aycock | Surgery | 36 Steele St Ste 200, Denver, CO 80206-5710 | 2007-03-09 |
| 1811022239 | Steven Lee Snively | Surgery | 601 E Hampden Ave Ste 200, Englewood, CO 80113-2788 | 2007-02-23 |
| 1437231982 | Christine Maria Rodgers | Surgery | 4600 Hale Pkwy Ste 330, Denver, CO 80220-4000 | 2006-10-20 |
| 1871675314 | Michael Charles Bateman | Surgery | 4700 Hale Pkwy Ste 520, Denver, CO 80220-4053 | 2006-10-20 |
| 1902990237 | Cecilia Marie Franco-webb | Surgery | 5351 S Roslyn St Ste 100, Greenwood Village, CO 80111 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.