MARK RICHARD ETHERTON – Neurology Physician, NPI 1023375946

MARK RICHARD ETHERTON is a healthcare provider. based in Boston, Massachusetts. specializing in Neurology Physician. They hold a License No. 265436 (MA). The NPI Number for MARK RICHARD ETHERTON is 1023375946

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MARK RICHARD ETHERTON
NPI
1023375946
Phone
(617) 726-8459
Address
55 FRUIT ST
Enumeration Date
17 April 2012
Last Update Date
23 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
6177240287
Graduation Year
2012 (14 years ago)
PAC ID
2769626662
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20170509000164
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MARK RICHARD ETHERTON

  • 55 FRUIT ST

    WACC 720

    BOSTON, MA 021142621

    Phone: (617) 726-8459

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

Can I cross-check MARK RICHARD ETHERTON using NPI 1023375946?
NPI 1023375946 belongs to MARK RICHARD ETHERTON; compare other details if you need extra assurance.
Is there an active status for MARK RICHARD ETHERTON?
For scheduling context, MARK RICHARD ETHERTON is shown as active in the registry.
What kind of doctor is MARK RICHARD ETHERTON?
MARK RICHARD ETHERTON is associated with Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK RICHARD ETHERTON?
Travel planning: use Boston, Massachusetts as the reference point for MARK RICHARD ETHERTON, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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