Elliott Irving Clemence III, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

K0004 Issued in TX

Practice address

7500 Barlite Blvd Ste 309
San Antonio, TX 78224-1361

Phone

(210) 924-9000

Fax

(210) 924-7300

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Frank K. Kuwamura III MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Shavano Park, TX
  • NPI 1639561921
  Medicare reassignment NPD
• New Life Ortho, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Shavano Park, TX
  • NPI 1851071443
  Medicare reassignment NPD
• Elliott I Clemence Mdpa

  • Specialist
  • San Antonio, TX
  • NPI 1639350374
  NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1235217555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BARLITE BLVD STE 309",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241361",
            "telephone_number": "210-924-9000",
            "fax_number": "210-924-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BARLITE BLVD STE 309",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241361",
            "telephone_number": "210-924-9000",
            "fax_number": "210-924-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENCE",
        "first_name": "ELLIOTT",
        "middle_name": "IRVING",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100345101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0U58R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleer Transportation Inc.
• Autumn Dawn Clegg, OTR, CBIS
• Catherine Michelle Clegg, LCSW
• Rea Marouf Cleland, MD, MS
• Timothy Paul Cleland, M.D.
• Braeden Lee Clement
• Britton Clement
• John P. Clement IV, M.D., PH.D.
• Kathryn A Clement, FNP-C
• Michele Clements-Thompson, PH.D.

• Orthopaedic Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.