Organization Active NPI

Elena Grantcharova Geppert, MD PA

Doing business as Harbour Plastic Surgery

  • Plastic Surgery Physician
  • League City, TX
National Provider Identifier
1356505846
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
L0221 Issued in TX
Legal business name
ELENA GRANTCHAROVA GEPPERT, MD PA
Doing business as
Harbour Plastic Surgery
Practice address
3033 Marina Bay Dr
Suite 110
League City, TX 77573-3984
Phone
(281) 334-3223
Fax
(281) 334-4930
NPI assigned
Jul 14, 2008
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. Elena Grantcharova Geppert, MDNPI 1063694057
Title
Medical Director
Phone
(281) 334-3223

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X L0221 TX Primary

Addresses

Primary practice location

3033 Marina Bay Dr
Suite 110
League City, TX 77573-3984

Mailing address

3033 Marina Bay Dr
Suite 110
League City, TX 77573-3984
Phone (281) 334-3223

Other names 1

  • Harbour Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

3033 Marina Bay Dr
Ste 110
League City, TX 77573
Phone (281) 334-3223

6243 Fairmont Pkwy
Ste 204
Pasadena, TX 77505
Phone (281) 990-8487

Practitioners & affiliated clinicians

Practitioners 3

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": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1356505846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 MARINA BAY DR",
            "address_2": "SUITE 110",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733984",
            "telephone_number": "281-334-3223",
            "fax_number": "281-334-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 MARINA BAY DR",
            "address_2": "SUITE 110",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733984",
            "telephone_number": "281-334-3223",
            "fax_number": "281-334-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA GRANTCHAROVA GEPPERT, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "GEPPERT",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "GRANTCHAROVA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-334-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L0221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.