DR. JACK D ELDER MD
NPI 1184691792
Orthopaedic Surgery - Sports Medicine in Longview, TX

Q: What is Jack Elder's NPI number?

The NPI number for Jack Elder is 1184691792. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Q: What is Jack Elder's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Jack Elder was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 02, 2006

709 HOLLYBROOK DR, SUITE 3401, LONGVIEW, TX 75605(903) 753-1778(903) 753-7202 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack D Elder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK D ELDER MD (NPI 1184691792) is an individual sports medicine provider in Longview, Texas, licensed in Texas (D2419) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1184691792

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. JACK D ELDERCredential: MD

Location Address709 HOLLYBROOK DR, SUITE 3401Longview, TX 75605-2411

Mailing AddressPo Box 847176Dallas, TX 75284-7176 · (903) 237-1800 · Fax (903) 237-1810

Phone(903) 753-1778

Fax(903) 753-7202

Sole ProprietorNo

Enumeration DateMarch 2, 2006

Last NPPES UpdateSeptember 4, 2012

✔ NPI 1184691792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in TX · D2419

Definition

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.

709 HOLLYBROOK DR, Longview, TX 75605

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Other Identifiers 2

Medicare UPINB87700TX

Medicare ID-Type Unspecified8C8565TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMIR V GERMANWALA DO

Internal Medicine (Cardiovascular Disease)

709 HOLLYBROOK DR, SUITE 2301
LONGVIEW, TX 75605

Gregg County (903) 757-4691

JEFFREY M. SHEA, MD, PA

Internal Medicine (Pulmonary Disease)

709 HOLLYBROOK DR, SUITE 3400
LONGVIEW, TX 75605

Gregg County (903) 758-1464

RODNEY LEE HENRY M.D.

Internal Medicine (Interventional Cardiology)

709 HOLLYBROOK DR, SUITE 2301
LONGVIEW, TX 75605

Gregg County (903) 757-5804

DR. MARK A WITT DPM

Podiatrist

709 HOLLYBROOK DR, SUITE 3401
LONGVIEW, TX 75605

Gregg County (903) 753-1778

DR. JORGE EDUARDO MASSARE-RODRIGUEZ M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

709 HOLLYBROOK DR, SUITE 2301
LONGVIEW, TX 75605

Gregg County (903) 757-5804

AMBER NICOLE LOWERY NP-C

Nurse Practitioner (Family)

709 HOLLYBROOK DR
LONGVIEW, TX 75605

Gregg County (903) 757-6042

DR. ANITA R SCRIBNER MD

Internal Medicine

709 HOLLYBROOK DR, SUITE 4500
LONGVIEW, TX 75605

Gregg County (903) 757-6042

DR. JONATHAN DAVID GREIFENKAMP MD

Internal Medicine (Cardiovascular Disease)

709 HOLLYBROOK DR, SUITE 2301
LONGVIEW, TX 75605

Gregg County (903) 757-4691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Elder's NPI number?

The NPI number for Jack Elder is 1184691792. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Jack Elder located?

Jack Elder practices at 709 Hollybrook Dr Suite 3401, Longview, TX 75605. The listed phone number is (903) 753-1778.

What is Jack Elder's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Jack Elder was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.