Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michelle Martin Southard, DO

Individual provider Plastic Surgery Physician · NPI 1992045090

Dr. Michelle Martin Southard, DO is a Plastic and Reconstructive Surgery in Fort Worth, Texas. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
18
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
MI, TX
In the registry since
2013
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

800 8th Ave Ste 116
Fort Worth, TX 76104-2606
Phone: (817) 335-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence P4783 (TX)
Plastic Surgery Physician Taxonomy 208200000X · Licence 5101020787 (MI)
Plastic Surgery Physician Taxonomy 208200000X · Licence P4783 (TX)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 5101020787 (MI)

Record details

NPI number1992045090
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 26, 2013
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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