Mark James Elder, D.O.
Family Medicine in Jay, FL. Individual provider (NPI-1).
NPI number1477559409
StatusActive
Last updated in NPPESMay 4, 2016
Details
- NPI
- 1477559409
- Entity type
- Individual (NPI-1)
- Name
- Mark James Elder
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2005
- Last updated
- May 4, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS8505 | FL | Yes |
Practice location
3887 Scotts Plaza DrJay, FL 32565-4001
Phone 850-981-0320 · Fax 850-981-0911
Mailing address
3887 Scotts Plaza DrJay, FL 32565-4001
Phone 850-981-0320 · Fax 850-981-0911
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Jay, FL
- C&J Medical, LLCNPI 1780543579
- J S Michael Smith MD PANPI 1497014161
- Edward Brian Jorgensen, D.O.NPI 1356325963
- Mark J Elder DO PANPI 1144651209
- Cleatious David Smith, MDNPI 1871546515
- John-Stewart Michael Smith, MDNPI 1497710313
All 7 Family Medicine Physician providers in Jay · All 84 providers in Jay
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