James Tilford Elder, M.D., PH.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301007650 Issued in MI

Practice address

1500 E Medical Center Dr
1St Floor Taubman Ctr Recp B
Ann Arbor, MI 48109-5314

Phone

(734) 936-4054

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: jelder26210@direct.med.umich.edu

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1184716110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "1ST FLOOR TAUBMAN CTR RECP B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095314",
            "telephone_number": "734-936-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "JAMES",
        "middle_name": "TILFORD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301007650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910922",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winston A Elam, CHW
• Fadi A Elayyan, DMD
• Leana Mustafa Idris Elbashir, MBBS
• Gail Shantae Elder-Battle, NP
• Jacquelyn Elder, FNP-BC
• Mary Josephine Elder, PHARMD
• Michelle Rene Elder
• Odd Petter Eldevik, MD, PHD
• Eleanor Feller, a.C.S.W., PC
• Jane E Elenbaas, NP

• Dermatology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.