Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487246369 Individual Practitioner Male Practitioner

Andrew Jackson Etheridge , CCA, CFO, CFM, CPED

Anaplastologist • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Andrew Etheridge, CCA, CFO, CFM, CPED is a registered healthcare professional specializing in Anaplastologist in Baltimore, MD. Practice services are available at 601 N CAROLINE ST FL 6 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 N Caroline St Fl 6

Baltimore, MD 212870006

Telephone 4109558215
Fax 4109551085
Associated Practice Facility / Clinic
🏢 Johns Hopkins University Facility NPI 1164584488

Specialty Benchmarks & Practice Insights

Comparative analytics for Anaplastologist in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Baltimore, MD (2 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-30
Anaplastologist Primary Specialty

NUCC Taxonomy Code: 229N00000X

An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).

Technician/Technologist - Ocularist

NUCC Taxonomy Code: 156FX1700X

An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.

Mastectomy Fitter

NUCC Taxonomy Code: 224900000X

An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.

Pedorthist

NUCC Taxonomy Code: 224L00000X

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

Orthotic Fitter

NUCC Taxonomy Code: 225000000X

An individual trained in the management of fitting prefabricated orthoses.

Secondary Practice Locations

2613 Carver St

Durham, NC 277052720

Phone: 9193831205

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Juan Garcia , CCA

Anaplastologist

NPI 1003840166

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 30, 2022

Registered at 601 N CAROLINE ST FL 6, BALTIMORE, MD 212870006 (Tel: 4109558215)

📍
Updated Business Mailing Address August 30, 2022

Registered at 6201 GREENLEIGH AVE, BALTIMORE, MD 212202004 (Tel: 4109336423)

NPI Profile Active February 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2021

Registered at 2613 CARVER ST, DURHAM, NC 277052720 (Tel: 9193831205)

📍
Updated Business Mailing Address February 11, 2021

Registered at 812 WOODGREEN DR, DURHAM, NC 277046032 (Tel: 2522304785)

👤
Provider Name / Credentials Updated February 11, 2021

Recorded as ANDREW ETHERIDGE, CCA, CFO, CFM, CPED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2021

Technician/Technologist

🟢
Initial NPI Registration & Enumeration February 11, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487246369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2021
Last Update: August 30, 2022
Sole Proprietor: No

Mailing Address

6201 Greenleigh Ave

Baltimore, MD 212202004

Phone: 4109336423

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.