DR. JEFFREY LEE ELDER II (NPI# 1841542982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841542982 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LEE ELDER II |
| Credential | PH.D. |
| Practice Address |
2335 Robison Dr Rexburg ID 83440-3310 |
| Practice Telephone | 8019132753 |
| Mailing Telephone | 8019132753 |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2012-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY-202664 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457569923 | Jeffrey Wayne Elder | Obstetrics & Gynecology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2007-05-18 |
| 1508073867 | Jeffrey Michael Elder | Emergency Medicine | 2020 Gravier St, 7th Floor, Suite D, New Orleans, LA 70112-2272 | 2007-05-17 |
| 1801987045 | Jeffrey N Elder | Emergency Medicine | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 | 2006-09-27 |
| Street Address |
2335 ROBISON DR |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764713 | Clarissa Marie Edge Richardson | Psychologist | University of Idaho Student Health Center 210, Moscow, ID 83844-0001 | 2018-06-21 |
| 1538583869 | Meier Clinics of California | Psychologist | 360 East Avenue, Suite 200, Ketchum, ID 83340 | 2014-02-06 |
| 1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
| 1073748950 | Nancy Sasse Sasser | Psychologist | 1060 Showalter Rd, Moscow, ID 83843-9199 | 2009-05-21 |
| 1578732293 | Melissa A Boley | Psychologist | 333 South Main St Ste 104, Ketchum, ID 83340 | 2008-02-27 |
| 1336361336 | Jon E. Ashton | Psychologist | 2273 East Gala, Suite 100, Meridian, ID 83642-7289 | 2007-05-02 |
| 1184741282 | Gregory W. Mondin | Psychologist | 220 W State St, Boise, ID 83702-6052 | 2007-03-23 |
| 1528105624 | Laura Mckee Psy D L L C | Psychologist | 158 North 1st East Street, Driggs, ID 83422 | 2007-01-30 |
| 1619025251 | Dale Arlan Babcock | Psychologist | 1500 West Barrett Drive, Meridian, ID 83642 | 2007-01-08 |
| 1942368253 | Carl D. Haugen | Psychologist | 102 S 1st Ave Ste 202, Sandpoint, ID 83864-1398 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.