Organization Active NPI

Lift Plastic Surgery

  • Specialist
  • Webster, TX
National Provider Identifier
1144770363
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
P7832 Issued in TX
Legal business name
LIFT PLASTIC SURGERY
Practice address
210 Genesis Blvd Ste B
Webster, TX 77598-1636
Phone
(832) 835-1131
Fax
(832) 918-3223
NPI assigned
Oct 12, 2016
Last updated
Feb 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Dr. Shitel Patel, M.D.NPI 1023219623
Title
M.D.
Phone
(813) 310-5057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X P7832 TX Primary

Addresses

Primary practice location

210 Genesis Blvd Ste B
Webster, TX 77598-1636

Mailing address

210 Genesis Blvd Ste B
Webster, TX 77598-1636
Phone (832) 835-1131

National Provider Directory

National Provider Directory

Locations

7400 Fannin St
Ste 1240
Houston, TX 77054
Phone (713) 795-5900

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1144770363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981636",
            "telephone_number": "832-835-1131",
            "fax_number": "832-918-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981636",
            "telephone_number": "832-835-1131",
            "fax_number": "832-918-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHITEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "813-310-5057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "P7832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.