Ethan Mackenzie, MD
Ethan Mackenzie, MD is a Plastic Surgery Physician in Madison, WI, registered under NPI 1710478573.
Getting there
The practice address on file is 600 HIGHLAND AVE, Madison, WI 53792. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 73015-20 | WI | Plastic Surgery Physician primary |
| 35.150824 | OH | Plastic Surgery Physician |
Licences are recorded in 2 states: WI, OH. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Plastic And Reconstructive Surgery
- PAC ID
- 3577810464
Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Ohio and Wisconsin. The practice address on file is in Madison, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 73015-20
- Specialty
- Plastic Surgery Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Plastic Surgery covers
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. NUCC Health Care Provider Taxonomy, code 208200000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208200000X | Plastic Surgery Physician | 73015-20 | WI | primary |
| 208200000X | Plastic Surgery Physician | 35.150824 | OH |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1710478573 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 28, 2018 |
| Last updated | Aug 28, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
600 HIGHLAND AVE Madison, WI 53792 (608) 263-8090 |
| Mailing address |
7974 UW HEALTH CT Middleton, WI 53562 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 1 | 0 | 4 | 7 | 8 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 2 | 0 | 8 | 7 | 7 | 5 | 5 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.