DR. MARK L ELDORE (NPI# 1134120256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134120256 |
| Entity Type | Individual |
| Full Name | DR. MARK L ELDORE |
| Credential | M.D. |
| Practice Address |
824 Southpark Circle Athens TX 75752 |
| Practice Telephone | 9036757376 |
| Practice Fax Number | 9036774234 |
| Mailing Telephone | 9036757376 |
| Mailing Fax Number | 9036774234 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | K0461 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 178423301 | 05 | |
| TX | BCBS PROVIDER NUMBER | 8S2730 | 01 |
| TX | 048064207 | 05 |
| Street Address |
824 SOUTHPARK CIRCLE |
| City | ATHENS |
| State | TX |
| Zip Code | 75752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831107028 | Mark L Eldore Md Pllc | Nurse Practitioner | 824 Southpark Circle, Athens, TX 75752 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730190851 | Glenna Miller White | Counselor | 74070 F M 317, Athens, TX 75752 | 2006-08-11 |
| 1821064742 | Andrews Center | Counselor | 6901 S. Hwy 19, Athens, TX 75752 | 2006-02-28 |
| 1720534449 | Nurture Community Healthcare Center | Skilled Nursing Facility | 110 Waverly Way, Athens, TX 75752 | 2016-09-01 |
| 1629044557 | Timothy Furlong | Psychiatry & Neurology | 6901 S. Hwy 19, Athens, TX 75752 | 2006-02-28 |
| 1003281999 | South Van Zandt Volunteer Fire Department, Inc | Emergency Medical Technician, Basic | 26306 State Highway 19 N, Athens, TX 75752-3704 | 2015-12-03 |
| 1780608323 | Andrwes Center/ Athens Place | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4875 Fm 2709, Athens, TX 75752-3807 | 2006-07-27 |
| 1063481380 | Kathy Wakefield | Counselor | 6091 State Highway 19 N, Athens, TX 75752-3983 | 2006-03-17 |
| 1770947186 | Joshua Cahan Felts | Specialist | 5900 County Road 3704, Athens, TX 75752-5045 | 2016-04-12 |
| 1740784990 | Brandon Dean Burkhalter | Technician | 7903 County Road 3704, Athens, TX 75752-5070 | 2018-03-22 |
| 1649664046 | Teresa Jan Thompson | Counselor | 2371 Green Gate Rd, Athens, TX 75752-5168 | 2015-03-24 |
| Find all providers in zip 75752 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235770876 | George Vasilios Kontopoulos | Obstetrics & Gynecology | 8 Agisilaou St, Athens, NONE 15123 | 2019-10-04 |
| 1588026660 | Elizabeth Garcia-cardenas | Obstetrics & Gynecology | 242 King Ave Ste 120, Athens, GA 30606 | 2016-03-28 |
| 1275803389 | John Bunn Hill | Obstetrics & Gynecology | 740 Prince Ave Ste 3, Athens, GA 30606-5903 | 2012-01-05 |
| 1750516621 | Linda S Ross | Obstetrics & Gynecology | 75 Hospital Dr Ste 260, Athens, OH 45701-2866 | 2009-05-21 |
| 1639311640 | Stephen Robert Shassberger | Obstetrics & Gynecology | 22335 Us Highway 72 Ste C, Athens, AL 35613-2611 | 2009-04-06 |
| 1689854614 | Gregory F. Mondini | Obstetrics & Gynecology | 607 E Clinton Ave, Athens, TX 75751-3411 | 2007-11-07 |
| 1336108620 | Rajiv Dinkar Desai | Obstetrics & Gynecology | 1500 Oglethorpe Avenue, Building 500 Suite D, Athens, GA 30606-2184 | 2006-03-23 |
| 1710952262 | Clinton B Ashford | Obstetrics & Gynecology | 1750 S Lumpkin St, Athens, GA 30606-4739 | 2006-02-20 |
| 1588638126 | Gregory F Mondini Md Pa | Obstetrics & Gynecology | 607 East Clinton, Athens, TX 75751 | 2006-02-13 |
| 1831198282 | Leah Deneen Lowman | Obstetrics & Gynecology | 355 Hawthorne Ln, Athens, GA 30606-2153 | 2005-07-19 |
| Find all providers in ATHENS | ||||
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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.