Active NPI
Dylan Elder, DO
- Anesthesiology Physician
- Warrensville Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 19937
- Practice address
- South Pointe Hospital
20000 Harvard Rd
Warrensville Heights, OH 44122 - Phone
- (216) 491-6000
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 58.030632 | OH | |
| Anesthesiology Physician | 207L00000X | 19937 | FL | Primary |
Addresses
Primary practice location
South Pointe Hospital
20000 Harvard Rd
Warrensville Heights, OH 44122
Mailing address
South Pointe Hospital
20000 Harvard Rd
Warrensville Heights, OH 44122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19937 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
-
- Anesthesiology Physician
- Panama City, FL
- NPI 1487160263
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1730641507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SOUTH POINTE HOSPITAL",
"address_2": "20000 HARVARD RD",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "44122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH POINTE HOSPITAL",
"address_2": "20000 HARVARD RD",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-491-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "DYLAN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "58.030632",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "19937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensville Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.