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DR. MATTHEW H ETHERIDGE D.P.M NPI 1093700494


NPI Information

NPI: 1093700494
Provider Name: DR. MATTHEW H ETHERIDGE, D.P.M
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Organization: PENSACOLA PODIATRY, P.A.

PECOS Registration: Yes

Address:
6160 N DAVIS HWY
SUITE 1
PENSACOLA, FL
ZIP 32504
Phone: (850) 476-2805
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DR. Matthew H Etheridge, D.P.M is a foot surgery podiatrist in Pensacola, FL with 27 years of experience. DR. Matthew H Etheridge, D.P.M NPI is 1093700494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1997

The provider's business location address is:

6160 N DAVIS HWY
SUITE 1
PENSACOLA, FL
ZIP 32504-994
Phone: (850) 476-2805
Fax: (850) 476-3010

The NPI 1093700494 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 9/13/2005 and was last updated on 3/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot SurgeryPO2862FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U80329MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.