Elizabeth Roya Emami, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

196812 Issued in OR

Practice address

585 Murphy Rd
Medford, OR 97504-8128

Phone

(541) 292-6464

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Roya Zickmund Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth@dermlasermedford.emadirect.md

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.

• King Aesthetics, LLC

  • Procedural Dermatology Physician
  • Medford, OR
  • NPI 1528889755
  NPD
• King Health & Wellness, LLC

  • Gynecology Physician
  • Medford, OR
  • NPI 1922734136
  NPD
• Island Cosmetic and Reconstructive Surgery PLLC

  • Plastic Surgery Physician
  • Mineola, NY
  • NPI 1013038702
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1780604207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 FISHERS FRY",
            "city": "GOLD HILL",
            "state": "OR",
            "postal_code": "975259615",
            "telephone_number": "516-512-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048128",
            "telephone_number": "541-292-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAMI",
        "first_name": "ELIZABETH",
        "middle_name": "ROYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-08-29",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "214441",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "196812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ZICKMUND",
            "middle_name": "ROYA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebecca Elizabeth Elliott, D.O.
• Amee Alene Ellis, OTL
• Wendy N Ellison, RD, RDN
• Rebecca Irene Elston
• Elysian Health
• Michael Emanuel
• Ingrid Emata
• Lisa Emery, MA
• Emory E. Hamilton DMD
• Empower Psychotherapy LLC

• Plastic and Reconstructive Surgery Physician in Medford, OR
• Providers in Medford, OR by specialty
• Plastic and Reconstructive Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.