ELIZABETH L CLEMONS (NPI# 1881854883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881854883 |
| Entity Type | Individual |
| Full Name | ELIZABETH L CLEMONS |
| Credential | MD |
| Practice Address |
9007 Ellerbe Rd Shreveport LA 71106-6724 |
| Mailing Address |
2300 Hospital Dr Ste 400 Bossier City LA 71111-2180 |
| Practice Telephone | 3182223278 |
| Mailing Telephone | 3182223278 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2017-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | A119801 | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | MD.204911 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407220973 | Elizabeth Carol Clemons | Counselor | 5089 Mount Ida Rd, Luverne, AL 36049-4115 | 2015-11-21 |
| 1821286725 | Elizabeth Mary Clemons | Developmental Therapist | 103 Johnson St, Lynn, MA 01902-4001 | 2007-10-05 |
| Street Address |
9007 ELLERBE RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023005758 | Dermatology and Skin Surgery Apmc | Dermatology | 9007 Ellerbe Rd, Shreveport, LA 71106-6724 | 2005-09-27 |
| 1255314415 | Anne B Bryan | Dermatology | 9007 Ellerbe Rd, Shreveport, LA 71106-6724 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194936849 | Steven Cooper Heard | Dermatology | 9007 Ellerbe Rd., Shreveport, LA 71106 | 2007-05-24 |
| 1548243793 | Donald I Posner | Dermatology | 845 Olive St, Shreveport, LA 71104-2101 | 2005-11-22 |
| 1023005758 | Dermatology and Skin Surgery Apmc | Dermatology | 9007 Ellerbe Rd, Shreveport, LA 71106-6724 | 2005-09-27 |
| 1568464980 | Paul Ratcliff Winder | Dermatology | 742 Pierremont Rd, Shreveport, LA 71106-2212 | 2005-08-15 |
| 1588806970 | Wk North Dermatology Clinic | Dermatology | 2751 Albert L Bicknell Dr, Suite 2-d, Shreveport, LA 71103-3920 | 2009-03-31 |
| 1730335753 | Sarah Grace Baker | Dermatology | 2751 Albert L Bicknell Dr, Suite 2-d, Shreveport, LA 71103-3920 | 2008-08-10 |
| 1881889079 | Winder-turk-jones Dermatology Apc | Dermatology | 742 Pierremont Rd, Shreveport, LA 71106-2212 | 2007-09-11 |
| 1699711978 | Patrick Richard Carrington | Dermatology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-06-22 |
| 1679517148 | Laura Sherrod Haynie | Dermatology | 2751 Albert L Bicknell Dr, Suite 2-d, Shreveport, LA 71103-3920 | 2006-06-15 |
| 1336182377 | James Ronald Bergeron | Dermatology | 2751 Albert L Bicknell Dr, Ste 2d, Shreveport, LA 71103-3939 | 2006-06-14 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.