West Ave Plastic Surgery, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

P1585 Issued in TX

Legal business name

WEST AVE PLASTIC SURGERY, PA

Practice address

2800 Kirby Dr
B212
Houston, TX 77098-1273

Phone

(713) 591-0283

Fax

(888) 878-1489

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Forrest Sussman Roth, M.D.

Title

President

Phone

(713) 591-9283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1386913317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 KIRBY DR",
            "address_2": "B212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77098",
            "telephone_number": "713-559-9300",
            "fax_number": "888-878-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 KIRBY DR",
            "address_2": "B212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981273",
            "telephone_number": "713-591-0283",
            "fax_number": "888-878-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST AVE PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "SUSSMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-591-9283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "P1585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrissa Anne Wesley
• Robby G Wesley, DO
• Caroline Wesonga, APRN
• Robert Allen Wessels, M.D.
• David E. Wesson, MD
• West Belfort Family Practice
• West Bellfort LLC
• West Bellfort Pediatric Clinics, Inc.
• West Bellfort Pediatric Clinics, Inc.
• West Belt Medical, P.L.L.C.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.