OrganizationActive
Richard Thomas Ethridge MD
NPI 1649438029 · Plastic and Reconstructive Surgery Physician · Fort Worth, TX
Provider details
- NPI number
- 1649438029
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Ethridge, Physician(817) 921-5566
- License
- M5152 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1622 8th Ave
Suite 130
Fort Worth, TX 76104
Phone: (817) 921-5566
Fax: (817) 921-5567
Street-level locationGet directions
Mailing address
1622 8th Ave
Fort Worth, TX 76104
Other names (DBA / former)
- Doing business as
- Ethridge Plastic Surgery
- Doing business as
- Ethridge Plastic Surgery
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2019-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.