Mark J Elder DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARK J ELDER DO PA

Practice address

5992 Berryhill Rd
Milton, FL 32570-1013

Phone

(850) 981-0320

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Elder, DO PA

Title

Owner

Phone

(850) 623-4070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1154559409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701013",
            "telephone_number": "850-981-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701013",
            "telephone_number": "850-981-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J ELDER DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-623-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Maillet, RN
• Gloria Margarita Malpica Hamilton, FNP-C
• Carl Maltese, ARNP
• Annalisa Hope Marcantonio, LCSW
• Mike H Marcantonio, DMD
• Claire Marx, DC
• Danielle Nicole Matthews, RBT
• Roger Matthews
• Ann Mignon Mattingly Gillis, M.ED
• Dennis Mayeaux, M.D.

• All providers in Milton, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.