Elliott I Clemence Mdpa

Primary specialty

SpecialistTaxonomy code 174400000X

License

K0004 Issued in TX

Legal business name

ELLIOTT I CLEMENCE MDPA

Doing business as

Elliott I Clemence MD PA

Practice address

7500 Barlite Blvd Ste 309
San Antonio, TX 78224-1363

Phone

(210) 924-9000

Fax

(210) 924-7300

NPI assigned

Nov 23, 2007

Last updated

Jan 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elliott Irving Clemence III, M.D.NPI 1235217555

Title

President

Phone

(210) 924-9000

Specialties & licenses 1

Addresses

Other names 1

• Elliott I Clemence MD PA Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elliott Irving Clemence III, MD

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1235217555
  NPD Authorized official
• Whitney Lynn Baker, FNP-BC

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1992215800
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1639350374",
    "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": "782241363",
            "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": "782241363",
            "telephone_number": "210-924-9000",
            "fax_number": "210-924-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT I CLEMENCE MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "CLEMENCE",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-924-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliott I Clemence MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonja Kristina Ellerbee, MSN, APRN, NP-C
• Jan Rochelle Elleson, M.A., CCC-SLP
• Gaylord Elling, D.D.S
• Matthew Allan Ellinger Jr.
• Wendy Elliot
• Bernadette Sanchez Elliott, RN
• Brandi Noel Elliott
• Briana Elliott, PHARMD
• Celestina Elliott
• Darrell Elliott, FNP

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.