Elise Rebecca Clem, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD35791 Issued in AL

Practice address

1041 Balch Rd Ste 250
Madison, AL 35758-8822

Phone

(256) 704-2229

Fax

(256) 704-2235

NPI assigned

Mar 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Obstetrics/Gynecology

Education

University of Alabama School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Together Women's Health Medical Group of Alabama PCGroup PAC ID 4981646734, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elise.clem.1@29040.direct.athenahealth.com

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.

• Together Women's Health Medical Group of Alabama PC

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1689637431
  Medicare reassignment Care Compare group NPD
• North Alabama OB-GYN Associates, P.a.

  dba OB-GYN Associates

  • Obstetrics & Gynecology Physician
  • Madison, AL
  • NPI 1912966847
  Medicare reassignment NPD
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  NPD (past)

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

• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1386038214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD STE 250",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588822",
            "telephone_number": "256-704-2229",
            "fax_number": "256-704-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD STE 250",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588822",
            "telephone_number": "256-704-2229",
            "fax_number": "256-704-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Center St Cweb 100",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366880001",
            "country_code": "US",
            "telephone_number": "251-415-8602",
            "fax_number": "251-415-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEM",
        "first_name": "ELISE",
        "middle_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD35791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Mae Ciaccio, OTR/L
• Valter R Cipollari Jr., PT
• Gary Clark, RBT
• Jonathan Daniel Clark, MS, LAT, ATC
• Kyle N Clark, RBT
• Richard T. Clem, PT
• Cleveland Behavioral Therapy LLC (The Balanced Life LLC)
• Jessica D Cleveland, M.S., LPC, NCC
• Clinic for Women PA
• Clinic for Women, P.a.

• Obstetrics & Gynecology Physician in Madison, AL
• Providers in Madison, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.