Active NPI
James C Elmer, MD PA
- Obstetrics & Gynecology Physician
- Cocoa Beach, FL
National Provider Identifier
1467642827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME 0051193
- Legal business name
- JAMES C ELMER, MD PA
- Practice address
- 699 W Cocoa Beach Cswy Ste 501
Cocoa Beach, FL 32931-3562 - Phone
- (321) 783-2213
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James C Elmer, M.D.
- Title
- Owner
- Phone
- (321) 783-2213
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME 0051193 | FL | Primary |
Addresses
Primary practice location
699 W Cocoa Beach Cswy Ste 501
Cocoa Beach, FL 32931-3562
Mailing address
699 W Cocoa Beach Cswy Ste 501
Cocoa Beach, FL 32931-3562
Phone (321) 783-2213
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1516522005 | Other | FL | CIGNA |
| 4108118 | Other | FL | AETNA |
| 04468 | Other | FL | BCBS |
| 1516522002 | Other | FL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
699 W Cocoa Beach Cswy
Ste 501
Cocoa Beach, FL 32931
Phone (321) 783-2213
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Cocoa Beach, FL
- NPI 1124108840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1467642827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 W COCOA BEACH CSWY STE 501",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313562",
"telephone_number": "321-783-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 W COCOA BEACH CSWY STE 501",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313562",
"telephone_number": "321-783-2213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES C ELMER, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ELMER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-783-2213",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME 0051193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1516522005",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4108118",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04468",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1516522002",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.