DR. JACK D ELDER MD
NPI 1184691792
Orthopaedic Surgery - Sports Medicine in Longview, TX
NPI Status: Active since March 02, 2006
Contact Information
709 HOLLYBROOK DR
SUITE 3401
LONGVIEW, TX
ZIP 75605
Phone: (903) 753-1778
Fax: (903) 753-7202
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
About JACK ELDER
This page provides the complete NPI Profile along with additional information for Jack Elder, a provider established in Longview, Texas with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1184691792 assigned on March 2006. The practitioner's primary taxonomy code is 207XX0005X with license number D2419 (TX). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1184691792
- Provider Name
- DR. JACK D ELDER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 709 HOLLYBROOK DR SUITE 3401 LONGVIEW, TX 75605
- Location Phone
- (903) 753-1778
- Location Fax
- (903) 753-7202
- Mailing Address
- PO BOX 847176 DALLAS, TX 75284
- Mailing Phone
- (903) 237-1800
- Mailing Fax
- (903) 753-7202
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-02-2006
- Last Update Date
- 09-04-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D2419
- License State
- TX
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B87700 | MEDICARE UPIN (02) | TX | |
| 8C8565 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 6 | 9 | 1 | 7 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 12 | 9 | 2 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 2 + 9 + 2 + 7 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1184691792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639117260 | STEPHEN SOMERVILLE MD PA Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 709 HOLLYBROOK DR SUITE 5600 LONGVIEW, TX 75605 (903) 758-5858 |
| 1972713782 | PHYLLIS CARY RPH Individual | Pharmacist | 709 HOLLYBROOK DR SUITE 4500 LONGVIEW, TX 75605 (903) 757-6042 |
| 1992781090 | SANFORD WATKINS M.D. Individual | Internal Medicine | 709 HOLLYBROOK DR SUITE 4500 LONGVIEW, TX 75605 (903) 757-6042 |
| 1861502304 | CHARLES FLOYD NEWKIRK M.D. Individual | Internal Medicine (Interventional Cardiology) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-5804 |
| 1891095717 | KRISTY LOFTIN-MOENING Individual | Audiologist | 709 HOLLYBROOK DR SUITE 5601 LONGVIEW, TX 75605 (903) 236-7560 |
| 1053539692 | JEFFREY M. SHEA, MD, PA Organization | Internal Medicine (Pulmonary Disease) | 709 HOLLYBROOK DR SUITE 3400 LONGVIEW, TX 75605 (903) 758-1464 |
| 1497869481 | KCN NOVAK LLC Organization | Pharmacy (Community/Retail Pharmacy) | 709 HOLLYBROOK DR STE 101 LONGVIEW, TX 75605 (903) 234-8326 |
| 1093782427 | DR. MARK A WITT DPM Individual | Podiatrist | 709 HOLLYBROOK DR SUITE 3401 LONGVIEW, TX 75605 (903) 753-1778 |
| 1225005705 | DR. ANITA R SCRIBNER MD Individual | Internal Medicine | 709 HOLLYBROOK DR SUITE 4500 LONGVIEW, TX 75605 (903) 757-6042 |
| 1437126034 | DR. EDWARD C LIU Individual | Orthopaedic Surgery (Sports Medicine) | 709 HOLLYBROOK DR SUITE 3401 LONGVIEW, TX 75605 (903) 753-1778 |
| 1407050008 | MRS. KATHLEEN WEINDORFF HARRIS MD Individual | Internal Medicine | 709 HOLLYBROOK DR SUITE 4500 LONGVIEW, TX 75605 (903) 757-6042 |
| 1639289119 | GEORGE FREDERICK LEATHERMAN M.D. Individual | Internal Medicine (Interventional Cardiology) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-5804 |
| 1093973661 | DR. JORGE EDUARDO MASSARE-RODRIGUEZ M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-5804 |
| 1366646564 | ACTION MEDSOURCE LLC. Organization | Durable Medical Equipment & Medical Supplies | 709 HOLLYBROOK DR SUITE 3401 LONGVIEW, TX 75605 (903) 530-4791 |
| 1043287816 | DR. SAMIR V GERMANWALA DO Individual | Internal Medicine (Cardiovascular Disease) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-4691 |
| 1083724520 | RODNEY LEE HENRY M.D. Individual | Internal Medicine (Interventional Cardiology) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-5804 |
| 1235333808 | DR. JONATHAN DAVID GREIFENKAMP MD Individual | Internal Medicine (Cardiovascular Disease) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-4691 |
| 1326158890 | KRISHNA REDDY NAYINI M.D. Individual | Internal Medicine (Interventional Cardiology) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-5804 |
| 1609986165 | CHARLES PRENTICE CRUMPLER M.D. Individual | Internal Medicine (Interventional Cardiology) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-5804 |
| 1922118470 | RONALD ALLEN SCOTT M.D. Individual | Internal Medicine (Interventional Cardiology) | 709 HOLLYBROOK DR SUITE 2301 LONGVIEW, TX 75605 (903) 757-5804 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184691792, enumerated in the NPI registry as an "individual" on March 02, 2006
The provider is located at 709 Hollybrook Dr Suite 3401 Longview, Tx 75605 and the phone number is (903) 753-1778
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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