Elysian Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

BD2335188 Issued in TX

Legal business name

ELYSIAN PLASTIC SURGERY PLLC

Practice address

11623 Angus Rd
Suite C15
Austin, TX 78759-4003

Phone

(512) 229-1978

Fax

(512) 402-5409

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

David Dellinger, DONPI 1093785404

Title

Owner

Phone

(512) 229-1978

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Brian Dellinger, DO

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
  • NPI 1093785404

  Plastic Surgery, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1285095083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD",
            "address_2": "SUITE C15",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594003",
            "telephone_number": "512-229-1978",
            "fax_number": "512-402-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD",
            "address_2": "SUITE C15",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594003",
            "telephone_number": "512-229-1978",
            "fax_number": "512-402-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-229-1978",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "BD2335188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Elward, D.M.D.
• Alexandra E Ely, D.O.
• Allison Ely
• Gracelyn Rose Ely, M.S.
• Elysia Telehealth PLLC
• Sarah Elzubeir, MD
• Em Health PLLC
• Embark Home Care
• Embark Home Care
• Ember Within Counseling Services, PLLC

• All providers in Austin, TX
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.