Individual provider Active NPI

Elizabeth A Cloninger, M.D.

  • Obstetrics & Gynecology Physician
  • Friendswood, TX
National Provider Identifier
1548496441
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P5948 Issued in TX
Practice address
1505 E Winding Way Dr Ste 210
Friendswood, TX 77546-5395
Phone
(832) 505-5050
NPI assigned
Jun 5, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P5948 TX Primary

Addresses

Primary practice location

1505 E Winding Way Dr Ste 210
Friendswood, TX 77546-5395

Mailing address

1416 Broadway St Ste 100
Pearland, TX 77581-6308
Phone (281) 482-2204

Other practice location 1

Suite 350 250 Blossom Street
Bay Area Women's Specialists PLLC
Webster, TX 77598-4243
Phone (832) 553-5430

Other practice location 2

2060 Space Park Dr Ste 410
Houston, TX 77058-3676
Phone (832) 783-2330

Other practice location 3

1416 Broadway St Ste 100
Pearland, TX 77581-6308
Phone (281) 482-2204

Other identifiers 1

IdentifierTypeStateIssuer
324161403MedicaidTX

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
I20130924000652 TX Practitioner - Obstetrics/Gynecology 2264676774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

1505 E Winding Way Dr
Suite 210
Friendswood, TX 77546-5395
Phone (832) 505-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5948TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince May 1, 2017 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 1, 2017 Accepting new patients
Utmb Faculty Group Practice Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1505 E Winding Way Dr
Ste 210
Friendswood, TX 77546
Phone (281) 482-2229

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2060 Space Park Dr
Ste 410
Houston, TX 77058
Phone (281) 334-6875

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

250 Blossom St
Ste 350
Webster, TX 77598
Phone (832) 505-3010

Interoperability endpoints

  • Direct secure messaging: ecloninger5300@direct.utmb.edu

Organizations & group practices 5

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 1

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548496441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BROADWAY ST STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775816308",
            "telephone_number": "281-482-2204",
            "fax_number": "281-992-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E WINDING WAY DR STE 210",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465395",
            "telephone_number": "832-505-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SUITE 350 250 BLOSSOM STREET",
            "address_2": "BAY AREA WOMEN'S SPECIALISTS PLLC",
            "address_purpose": "LOCATION",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984243",
            "country_code": "US",
            "telephone_number": "832-553-5430",
            "fax_number": "281-554-6705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Space Park Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583676",
            "country_code": "US",
            "telephone_number": "832-783-2330",
            "fax_number": "281-333-1731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 Broadway St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775816308",
            "country_code": "US",
            "telephone_number": "281-482-2204",
            "fax_number": "281-992-4310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLONINGER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P5948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324161403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.