Ethan Mackenzie, MD
NPI 1710478573 · Plastic Surgery Physician · Madison, WI
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Mackenzie, MD is a Plastic Surgery Physician provider in Madison, WI (NPI 1710478573).
Provider details
- NPI number
- 1710478573
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35.150824 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 915 Olentangy River Rd Ste 2140Columbus, OH 43212-3153Phone: (614) 293-8566Fax: (614) 293-3381
Registry dates
- Enumerated
- 2018-05-28
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Frequently asked questions
- What is Ethan Mackenzie's NPI number?
- Ethan Mackenzie's National Provider Identifier (NPI) is 1710478573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Mackenzie's specialty?
- Ethan Mackenzie is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Mackenzie located?
- Ethan Mackenzie's practice location on file with NPPES is 600 Highland Ave, Madison, WI 53792-3153.
- What is Ethan Mackenzie's phone number?
- The practice phone number listed in the NPPES registry for Ethan Mackenzie is (608) 263-8090.
- Does Ethan Mackenzie accept Medicare?
- Ethan Mackenzie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Mackenzie's NPI active?
- Yes — Ethan Mackenzie's NPI (1710478573) is active in the NPPES registry as of the last update on 2025-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.