DR. JACK D ELDER MD
NPI 1184691792
Orthopaedic Surgery - Sports Medicine in Longview, TX
NPI Status: Active since March 02, 2006
Contact Information
709 HOLLYBROOK DR
SUITE 3401
LONGVIEW, TX
ZIP 75605
Phone: (903) 753-1778
Fax: (903) 753-7202
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
About JACK ELDER
This page provides the complete NPI Profile along with additional information for Jack Elder, a provider established in Longview, Texas with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1184691792 assigned on March 2006. The practitioner's primary taxonomy code is 207XX0005X with license number D2419 (TX). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1184691792
- Provider Name
- DR. JACK D ELDER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 709 HOLLYBROOK DR SUITE 3401 LONGVIEW, TX 75605
- Location Phone
- (903) 753-1778
- Location Fax
- (903) 753-7202
- Mailing Address
- PO BOX 847176 DALLAS, TX 75284
- Mailing Phone
- (903) 237-1800
- Mailing Fax
- (903) 753-7202
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-02-2006
- Last Update Date
- 09-04-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D2419
- License State
- TX
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B87700 | MEDICARE UPIN (02) | TX | |
| 8C8565 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184691792, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
LONGVIEW, TX 75605
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184691792, enumerated as an "individual" on March 02, 2006.
The provider is located at 709 HOLLYBROOK DR SUITE 3401 LONGVIEW, TX 75605 and the phone number is (903) 753-1778.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
