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

Dr. Richard Thomas Ethridge, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1013108299

Dr. Richard Thomas Ethridge, MD is a Plastic and Reconstructive Surgery in Fort Collins, Colorado. Graduated from University of Texas Medical Branch at Galveston in 2003, 23 years ago. Practices with Advanced Dermatology of Colorado PC, a 64-clinician group and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
23
Trained at
University of Texas Medical Branch at Galveston
Licensed in
CO, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Poudre River Dr Unit A
Fort Collins, CO 80524-3557
Phone: (970) 484-6303
Fax: (704) 843-0369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence DR.0063642 (CO)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence M5152 (TX)

Record details

NPI number1013108299
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2007
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2003 (23 years in practice)
Group practice Advanced Dermatology Of Colorado Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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