Individual provider Active NPI

Elizabeth B. Clanton, M.D.

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1780864595
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
N6819 Issued in TX
Practice address
1419 Austin Hwy
San Antonio, TX 78209-4337
Phone
(210) 460-7632
Fax
(210) 591-1192
NPI assigned
Nov 8, 2007
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X N6819 TX Primary
Pediatric Surgery Physician 2086S0120X N6819 TX
Plastic and Reconstructive Surgery Physician 2086S0122X N6819 TX

Addresses

Primary practice location

1419 Austin Hwy
San Antonio, TX 78209-4337

Mailing address

1419 Austin Hwy
San Antonio, TX 78209-4337
Phone (210) 460-7632

Other names 1

  • Dr. Mary E. Bohnenblust Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebclanton@clantonplasticsurgery.com Other

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
I20110125001164 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 0840479606 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1419 Austin Hwy
San Antonio, TX 78209-4337
Phone (210) 460-7632

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue75
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6819TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burn and Reconstructive Centers of Texas CurrentSince Mar 9, 2022 Accepting new patients
Elizabeth Bohnenblust Clanton, MD, PA Plastic Surgery CurrentSince Dec 1, 2018 Accepting new patients
Vohra Post Acute Care Physicians of Texas, PLLC CurrentSince Oct 28, 2024 Accepting new patients
Pediatric Plastic Surgery, PLLC Plastic and Reconstructive Surgery Past Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

11842 Wurzbach Rd
San Antonio, TX 78230
Phone (210) 460-7632

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

8038 Wurzbach Rd
Ste 280
San Antonio, TX 78229
Phone (210) 615-7006

Interoperability endpoints

  • Direct secure messaging: mbohnenblust4774@direct.utmsa.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1780864595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094337",
            "telephone_number": "210-460-7632",
            "fax_number": "210-591-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094337",
            "telephone_number": "210-460-7632",
            "fax_number": "210-591-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANTON",
        "first_name": "ELIZABETH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N6819",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "N6819",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N6819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebclanton@clantonplasticsurgery.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "8038 Wurzbach Rd Ste 280",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BOHNENBLUST",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.