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LIFT AESTHETIC SURGERY
NPI 1063921260
Plastic Surgery in Missoula, MT

Active since September 20, 2017
4700 NICOLE CT, MISSOULA, MT 59803(215) 990-1851 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Sep 20, 2017 (3 updates tracked since 2017).

About Lift Aesthetic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFT AESTHETIC SURGERY (NPI 1063921260) is a healthcare organization registered as a plastic surgery in Missoula, Montana and active in the NPI registry since September 2017. The organization lists Ryan Philip Marshall, Surgeon/owner, as its authorized official.

NPPES Registry Identity

NPI1063921260
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameLIFT AESTHETIC SURGERY
Location Address4700 NICOLE CTMissoula, MT 59803-2792
Mailing Address4700 Nicole CtMissoula, MT 59803-2792 · (215) 990-1851
Phone(215) 990-1851
Organization SubpartNo
Authorized OfficialRyan Philip MarshallSurgeon/owner · (215) 990-1851
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1063921260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MT · 35293
Definition
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.
4700 NICOLE CT, Missoula, MT 59803
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Other Identifiers 1

Medicaid1982855334MT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lift Aesthetic Surgery's NPI number?

The NPI number for Lift Aesthetic Surgery is 1063921260. It was assigned to this organization in the NPPES registry on September 20, 2017.

Where is Lift Aesthetic Surgery located?

Lift Aesthetic Surgery is located at 4700 Nicole Ct, Missoula, MT 59803. The listed phone number is (215) 990-1851.

What is Lift Aesthetic Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Lift Aesthetic Surgery was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.