Elizabeth Jane Eldon, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

4301407071 Issued in MI

Practice address

220 Bagley St
Detroit, MI 48226-1400

Phone

(313) 961-7990

Fax

(313) 961-0353

NPI assigned

Mar 19, 2007

Last updated

Jan 13, 2010By the provider in NPPES

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neightborhood Service Organization

  • Nursing Facility/Intermediate Care Facility
  • Detroit, MI
  • NPI 1780802116
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1285758755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 CARROLL LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823136",
            "telephone_number": "248-363-5094",
            "fax_number": "313-961-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BAGLEY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261400",
            "telephone_number": "313-961-7990",
            "fax_number": "313-961-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDON",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MI",
            "license": "4301407071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahir Darrar Elder, MD
• Stephen Girard Elder, D.D.S.
• Zachary Elder, MD
• Jessica Elderkin
• Frances Ethel Eldis, PH.D., CCC-A/SLP
• April Michele Eldridge
• Sharon Eldridge, DNP, RN, ACNPC-AG
• Eleanor Marie Qualls
• Rogers E. a. Elebra, PHARM.D.
• Electronic Services Technologies LLC

• Geriatric Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Geriatric Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.