NPIMap

Organization Active NPI

St. Elizabeth Physician Group, PLLC

Doing business as Vitrics Health

  • Family Medicine Physician
  • Dickinson, TX
National Provider Identifier
1659852234
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST. ELIZABETH PHYSICIAN GROUP, PLLC
Doing business as
Vitrics Health
Wellnow Health
Practice address
676 FM 517 Rd W
Dickinson, TX 77539
Phone
(713) 482-4535
Fax
(713) 482-4560
NPI assigned
Aug 22, 2018
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Harold Fattig
Title
President
Phone
(713) 482-4535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

676 FM 517 Rd W
Dickinson, TX 77539

Mailing address

PO Box 1619
Dickinson, TX 77539-1619
Phone (713) 482-4535

Other practice location 1

622 Highway 3
LA Marque, TX 77568-5936
Phone (409) 933-0733

Other practice location 2

7814 Bellaire Blvd
Houston, TX 77036-4936
Phone (713) 271-0030

Other names 2

  • Vitrics Health Doing business as
  • Wellnow Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604000602 TX Part B Supplier - Clinic/Group Practice 6002149259 Receives reassigned benefits from 14 practitioners
Practice locations: Lamarque, TX; Laporte, TX; Jersey Village, TX; Dickinson, TX

National Provider Directory

National Provider Directory

Locations

622 Highway 3
La Marque, TX 77568
Phone (409) 933-0733

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1659852234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1619",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775391619",
            "telephone_number": "713-482-4535",
            "fax_number": "713-482-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "713-482-4535",
            "fax_number": "713-482-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Highway 3",
            "address_purpose": "LOCATION",
            "city": "LA Marque",
            "state": "TX",
            "postal_code": "775685936",
            "country_code": "US",
            "telephone_number": "409-933-0733",
            "fax_number": "409-933-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7814 Bellaire Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770364936",
            "country_code": "US",
            "telephone_number": "713-271-0030",
            "fax_number": "713-482-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. ELIZABETH PHYSICIAN GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "FATTIG",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-482-4535"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitrics Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellnow Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.