Lift Aesthetic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35293 Issued in MT

Legal business name

LIFT AESTHETIC SURGERY

Practice address

4700 Nicole CT
Missoula, MT 59803-2792

Phone

(215) 990-1851

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Philip Marshall, DONPI 1982855334

Title

Surgeon/Owner

Phone

(215) 990-1851

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Philip Marshall, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Asheville, NC
  • NPI 1982855334

  Plastic Surgery

  NPD Authorized official

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063921260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 NICOLE CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598032792",
            "telephone_number": "215-990-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NICOLE CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598032792",
            "telephone_number": "215-990-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT AESTHETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "215-990-1851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MT",
            "license": "35293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982855334",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiara Z Liberty, C.M.T
• Victor Lewis Lieberman, PH.D.
• Diana Elizabeth Liedtka-Holmquist, DNP
• Laura Sophia Liedtka, OTR/L
• Life Chiropractic LLC
• Stephanie Lynn Lighter, CNM, WHNP
• Lighthouse Speech Therapy PLLC
• Lightspace, Inc.
• John Craig Lilburn, MSW, LCSW
• Hannah Lillie, P-LCPC, NCC

• Plastic Surgery Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Plastic Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.