Active NPI
Lisa G Massey, MD
- Anesthesiology Physician
- Kerrville, TX
National Provider Identifier
1467402255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G1473
- Practice address
- 420 Water St #105-B
Kerrville, TX 78028 - Phone
- (830) 896-1344
- Fax
- (830) 896-1363
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G1473 | TX | Primary |
Addresses
Primary practice location
420 Water St #105-B
Kerrville, TX 78028
Mailing address
420 Water St #105-B
Kerrville, TX 78028
Phone (830) 896-1344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128706203 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30617 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Anesthesia Group LLC | Anesthesiology | Past | Accepting new patients |
| Loris Anesthesia and Pain Treatment, PLLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1578656948
Anesthesiology
-
- Anesthesiology Physician
- Loris, SC
- NPI 1871817437
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1467402255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 WATER ST #105-B",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "78028",
"telephone_number": "830-896-1344",
"fax_number": "830-896-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 WATER ST #105-B",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "78028",
"telephone_number": "830-896-1344",
"fax_number": "830-896-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "LISA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G1473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128706203",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.