Individual provider Active NPI

Caroline Elizabeth Clarke, MD

  • Plastic Surgery Physician
  • Montgomery, TX
National Provider Identifier
1104078781
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
Q5375 Issued in TX
Practice address
625 Regal Row Unit 704
Montgomery, TX 77316-3934
Phone
(346) 202-4660
Fax
(301) 235-1553
NPI assigned
Oct 15, 2008
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Q5375 TX Primary

Addresses

Primary practice location

625 Regal Row Unit 704
Montgomery, TX 77316-3934

Mailing address

PO Box 7143
The Woodlands, TX 77387-7143
Phone (346) 202-4660

Other names 1

  • Caroline Elizabeth Daigle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230001313 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 1951603406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Texas Medical School at Houston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correa Plastic Surgery PLLCGroup PAC ID 3173742699, 2 clinicians

Practice addresses (Care Compare)

4850 W Panther Creek Dr
Suite 105
The Woodlands, TX 77381-3595
Phone (281) 419-9119

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy12
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q5375TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correa Plastic Surgery PLLC Plastic Surgery CurrentSince Jul 19, 2022 Accepting new patients

Locations

134 Vision Park Blvd
Ste 150
Shenandoah, TX 77384
Phone (346) 202-4660

4850 W Panther Creek Dr
Ste 105
The Woodlands, TX 77381
Phone (281) 419-9119

Interoperability endpoints

  • Direct secure messaging: cclark400280@direct.stlukeshealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1104078781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7143",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773877143",
            "telephone_number": "346-202-4660",
            "fax_number": "301-235-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 REGAL ROW UNIT 704",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773163934",
            "telephone_number": "346-202-4660",
            "fax_number": "301-235-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CAROLINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "Q5375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "DAIGLE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.