NPIMap

Organization Active NPI

Elisabeth Potter MD PLLC

  • Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1386000800
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ELISABETH POTTER MD PLLC
Practice address
6818 Austin Center Blvd
Ste 204
Austin, TX 78731-3158
Phone
(512) 867-6211
Fax
(512) 867-6216
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Elisabeth House Potter, M.D.
Title
Member
Phone
(214) 794-7714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

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

Mailing address

1101 W 34TH St
#321
Austin, TX 78705-1907
Phone (512) 867-6211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1386000800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 34TH ST",
            "address_2": "#321",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051907",
            "telephone_number": "512-867-6211",
            "fax_number": "512-867-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 AUSTIN CENTER BLVD",
            "address_2": "STE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313158",
            "telephone_number": "512-867-6211",
            "fax_number": "512-867-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH POTTER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "HOUSE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-794-7714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.