LIFT AESTHETIC SURGERY (NPI# 1063921260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063921260 |
| Entity Type | Organization |
| Organization Name | LIFT AESTHETIC SURGERY |
| Practice Address |
4700 Nicole Ct Missoula MT 59803-2792 |
| Practice Telephone | (215) 990-1851 |
| Mailing Telephone | 2159901851 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. RYAN PHILIP MARSHALL (SURGEON/OWNER) |
| Authorized Official Telephone | 2159901851 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 35293 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1982855334 | 05 |
| Street Address |
4700 NICOLE CT |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-2792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063646586 | Kathleen Blaney Marshall | Internal Medicine | 4700 Nicole Ct, Missoula, MT 59803-2792 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1407807829 | John Wayne Harlan | Plastic Surgery | 900 N Orange St, Suite 106, Missoula, MT 59802-2998 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593934 | Walter Jay Peet | Plastic Surgery | 2145 Fairview Pl, Billings, MT 59102-0611 | 2013-08-21 |
| 1780606293 | Robert W Alexander | Plastic Surgery | 715 Main St, Suite B, Stevensville, MT 59870-2846 | 2006-07-24 |
| 1407801848 | Sarah E Nargi | Plastic Surgery | 5850 Hwy 93 S, Whitefish, MT 59937-8414 | 2006-05-24 |
| 1093225260 | Ridgway Plastic Surgery, Pllc | Plastic Surgery | 1188 N 15th Ave Ste 1, Bozeman, MT 59715 | 2017-10-02 |
| 1700031622 | Whitefish Plastic Surgery | Plastic Surgery | 5850 Hwy 93 S, Whitefish, MT 59937-8414 | 2008-11-19 |
| 1295997344 | Jarred Mcdaniel | Plastic Surgery | 300 N Willson Ave, Suite 300c, Bozeman, MT 59715-3551 | 2008-06-30 |
| 1205006384 | Kenneth A Bailey Md PC | Plastic Surgery | 2900 12th Ave N Ste 290w, Billings, MT 59101-7501 | 2008-03-05 |
| 1558475921 | Emilia A Ploplys | Plastic Surgery | 400 13th Ave S, Suite 103, Great Falls, MT 59405-4300 | 2006-08-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.