Elena Grantcharova Geppert, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

L0221 Issued in TX

Practice address

3033 Marina Bay Dr.
Ste. #110
League City, TX 77573

Phone

(281) 334-3223

Fax

(282) 334-4930

NPI assigned

Nov 30, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: egeppert468686@direct.stlukeshealth.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1063694057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 MARINA BAY DR.",
            "address_2": "STE. #110",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "281-334-3223",
            "fax_number": "282-334-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 MARINA BAY DR.",
            "address_2": "STE. #110",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "281-334-3223",
            "fax_number": "282-334-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPPERT",
        "first_name": "ELENA",
        "middle_name": "GRANTCHAROVA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L0221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Geaccone, DDS
• Jeffrey Brian Geno, DDS,FAGD
• Dileep George
• Dipu George, PHARMD
• Jessey George, FNP
• Maylin Faith Gerardo-Lopez, FNP
• Jennifer Michelle Gibbons
• Olga A Gil-Torrellas, DMD, MSD
• Mary Jane Giles, LCDC
• Shivjit Singh Gill, M.D.

• Plastic Surgery Physician in League City, TX
• Providers in League City, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.