Elisabeth H. Potter, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

P7331 Issued in TX

Practice address

6818 Austin Center Blvd
Suite 204
Austin, TX 78731-3158

Phone

(512) 867-6211

Fax

(512) 561-0858

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Aesthetic and Reconstructive Therapeutics PLLC

  dba Austin Plastic & Reconstructive Surgery

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
  • NPI 1952786212
  Medicare reassignment NPD
• Austin Surgical Arts

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Austin, TX
  • NPI 1083806954
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1346438603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 34TH ST",
            "address_2": "SUITE 321",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051907",
            "telephone_number": "512-867-6211",
            "fax_number": "512-561-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 AUSTIN CENTER BLVD",
            "address_2": "SUITE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313158",
            "telephone_number": "512-867-6211",
            "fax_number": "512-561-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ELISABETH",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P7331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327193402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327193401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Marie Poston, PA
• Elizaveta Potapenko, PSY.D.
• Roy Keith Poth, M.D.
• Padmavathamma Pothala, MD
• Austin Potter
• Jennifer Potter, PHARMD
• Laura M Potter, MSW
• Marimikel Potter, RN-BSN, LM, CPM
• Nicole Vanessa Potter, PT, DPT
• Jackson Bradley Potts II, RN, BSN

• Plastic and Reconstructive Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.