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ELIZABETH FITZSULLIVAN MD NPI 1780793794


NPI Information

NPI: 1780793794
Provider Name: ELIZABETH FITZSULLIVAN, MD
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

PECOS Registration: Yes

Address:
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
Phone: (713) 792-6161
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Elizabeth Fitzsullivan, MD is a surgical oncology surgery in Houston, TX with 19 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Elizabeth Fitzsullivan, MD NPI is 1780793794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030-009
Phone: (713) 792-6161

The NPI 1780793794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy or removal of lymph nodes of under the arm, open procedure (HCPCS:38525)
  • Partial removal of breast (HCPCS:19301)
  • Lymph node imaging during surgery (HCPCS:38900)

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryML20008319WASHINGTONNo
22086X0206XSurgerySurgical OncologyP3885TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TXB159642MEDICARE PINTEXAS
2307148201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.