Jamison Wendell Elder, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

34697 Issued in SC

Practice address

307 Boatner Rd
Eglin Afb, FL 32542-1302

Phone

(803) 840-0825

NPI assigned

Oct 20, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luis Felipe Flores, M.D., PLLC

  • Surgery Physician
  • Kingsville, TX
  • NPI 1174644983
  NPD (past)
• Mont Green Anesthesiology Inc

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1750352159
  NPD (past)
• Premier Anesthesia of Corpus

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1093727539
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1194714162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 CHANTILLY CIR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784323",
            "telephone_number": "803-840-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "803-840-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "JAMISON",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "34697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Nichole Eckstine
• Michele Suzanne Edmond, IDMT
• Kathryn Anna Edmonds, MD
• Mackenzie Taylor Eickhoff, DO
• Esther Eiger, DMD
• Joshua M Elston, PHARMD
• Brian Eppright, MD
• Garrit Grant Esplin, DMD
• Kathleen Kananipauole Esserman, ARNP
• Austin Evans, D.M.D.

• Anesthesiology Physician in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.