William A Elder, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.046307 Issued in OH

Practice address

122 Columbus Rd
Fredericktown, OH 43019-1266

Phone

(740) 694-1261

Fax

(740) 694-7145

NPI assigned

Jun 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.elder@kcchc.eclinicaldirectplus.com

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.

• Knox County General Health District

  dba Knox Public Health

  • Public Health or Welfare Agency
  • Mount Vernon, OH
  • NPI 1306818075
  Medicare reassignment NPD
• Knox County General Health District

  dba Knox County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, OH
  • NPI 1740727510
  NPD
• Knox County General Health District

  dba Centerburg Health Center

  • Federally Qualified Health Center (FQHC)
  • Centerburg, OH
  • NPI 1841173515
  NPD
• Knox Community Hospital

  • Home Health Agency
  • Mount Vernon, OH
  • NPI 1720251325
  NPD (past)
• Knox County General Health District

  dba Mount Vernon Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, OH
  • NPI 1265207658
  NPD (past)
• Knox County General Health District

  dba Behavioral Health of Mount Vernon Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, OH
  • NPI 1780343632
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710914833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 COLUMBUS RD",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430191266",
            "telephone_number": "740-694-1261",
            "fax_number": "740-694-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 COLUMBUS RD",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430191266",
            "telephone_number": "740-694-1261",
            "fax_number": "740-694-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.046307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF OHIO",
            "identifier": "2088882",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0466517",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000018965",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Cook
• Rebekah H Crawford, DO
• Richard Scott Davis, D.C.
• Lisa K Dilts
• Mary Bowlus Elder
• Jessica Dawn Elliott, STNA
• Jodeen Erfurt, SLP
• Kate Esteph
• Heather Rochelle Evans, RN OCN
• Fredericktown Community Joint Emergency Ambulance District

• Family Medicine Physician in Fredericktown, OH
• Providers in Fredericktown, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.