Elise Roe MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

N8844 Issued in TX

Legal business name

ELISE ROE MD PA

Doing business as

Panhandle Plastic Surgery

Practice address

1301 S Coulter St Ste 413
Amarillo, TX 79106-1763

Phone

(806) 677-7952

NPI assigned

Jul 22, 2014

Last updated

Sep 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elise Marie Roe, M.D.

Title

Owner

Phone

(806) 350-7929

Specialties & licenses 1

Addresses

Other names 1

• Panhandle Plastic Surgery Doing business as

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, and the practitioner matching its NPPES authorized official.

• Elise May, M.D.

  • Plastic Surgery Physician
  • Amarillo, TX
  • NPI 1740499953
  Medicare reassignment NPD

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1386051308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST",
            "address_2": "STE 413",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-350-7929",
            "fax_number": "806-350-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST STE 413",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-677-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISE ROE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-350-7929",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N8844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panhandle Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Taha Elamir, DDS
• Carla Elbel, PH. D
• Elements Counseling and Consulting PLLC
• Mohamed Elfedaly, M.D.
• Mary Edith Anne Elhardt, M.D.
• Elite Pain and Spine Surgery Center PLLC
• Sandra Jean Elkins, CPM, L.M.
• Christopher Ellen, DO
• Richard Todd Ellington, M.D.
• Susan Elizabeth Ellington, MD

• Plastic Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.