MARK JAMES ELDER D.O. NPI 1477559409

NPI Information

  • NPI: 1477559409
  • Provider Name: MARK JAMES ELDER, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3887 SCOTTS PLAZA DR
    JAY, FL
    ZIP 32565
  • Phone: (850) 981-0320

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NPI Details

Mark James Elder, D.O. is a family medicine in Jay, FL with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark James Elder, D.O. NPI is 1477559409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:1993

The provider's business location address is:

3887 SCOTTS PLAZA DR
JAY, FL
ZIP 32565-001
Phone: (850) 981-0320
Fax: (850) 981-0911

The NPI 1477559409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)

The enumeration date for this NPI number is 6/23/2005 and was last updated on 5/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS8505FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1263360638OTHERFLORIDATAX ID
205247OTHERFLORIDABLUE CROSS FLORIDA
3590-48269OTHERALABAMABCBS
4F92324MEDICARE UPIN
5HS620AOTHERFLORIDAMEDICARE GROUP PTAN
605247XMEDICARE PINFLORIDA
7262643800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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