Individual provider Active NPI

William Everett Clementson, D.O.

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1356528046
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N9689 Issued in TX
Practice address
8701 Shoal Creek Blvd Ste 401
Austin, TX 78757-6809
Phone
(737) 212-8181
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N9689 TX Primary

Addresses

Primary practice location

8701 Shoal Creek Blvd Ste 401
Austin, TX 78757-6809

Mailing address

8701 Shoal Creek Blvd Ste 401
Austin, TX 78757-6809
Phone (737) 212-8181

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
I20140127000161 TX Practitioner - Emergency Medicine 2062680200 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Palmerton Emergency Medical Associates PC Emergency Medicine Past Accepting new patients

Locations

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

5510 Presidio Pkwy
San Antonio, TX 78249
Phone (210) 452-4121

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1356528046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 SHOAL CREEK BLVD STE 401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576809",
            "telephone_number": "737-212-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 SHOAL CREEK BLVD STE 401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576809",
            "telephone_number": "737-212-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTSON",
        "first_name": "WILLIAM",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.