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

Ethan Laghi Mackenzie, MD

Individual provider Plastic Surgery Physician · NPI 1710478573

Ethan Laghi Mackenzie, MD is a Plastic and Reconstructive Surgery in Madison, Wisconsin. Graduated from Harvard Medical School in 2018, 8 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio and Wisconsin.

Years since qualifying
8
Trained at
Harvard Medical School
Licensed in
OH, WI
In the registry since
2018
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

600 Highland Ave
Madison, WI 53792-3153
Phone: (608) 263-8090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 915 Olentangy River Rd Ste 2140, Columbus, OH 43212-3153 — (614) 293-8566

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 73015-20 (WI)
Plastic Surgery Physician Taxonomy 208200000X · Licence 35.150824 (OH)

Record details

NPI number1710478573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2018
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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