Individual provider Active NPI

Elizabeth Ann Grizzaffi, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1124311584
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07144 Issued in TX
Practice address
14811 Saint Marys LN Ste 270
Houston, TX 77079-2908
Phone
(713) 497-3500
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07144 TX Primary

Addresses

Primary practice location

14811 Saint Marys LN Ste 270
Houston, TX 77079-2908

Mailing address

14811 Saint Marys LN Ste 270
Houston, TX 77079-2908
Phone (713) 594-4943

Other names 1

  • Elizabeth Ann Ostrander Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170614000371 TX Practitioner - Physician Assistant 0749558849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martha St. John, M.D., P.a.Group PAC ID 6002918273, 2 clinicians

Practice addresses (Care Compare)

14811 Saint Marys LN
Suite 270
Houston, TX 77079-2908
Phone (281) 497-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07144TXMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1124311584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14811 SAINT MARYS LN STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792908",
            "telephone_number": "713-594-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 SAINT MARYS LN STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792908",
            "telephone_number": "713-497-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZAFFI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OSTRANDER",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.