DR. MARK L ELDORE M.D. NPI 1134120256

NPI Information

  • NPI: 1134120256
  • Provider Name: DR. MARK L ELDORE, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 45D2126413
  • Address: 824 SOUTHPARK CIRCLE
    ATHENS, TX
    ZIP 75752
  • Phone: (903) 675-7376

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NPI Details

DR. Mark L Eldore, M.D. is an obstetrics gynecology in Athens, TX with 30 years of experience. The provider is 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. DR. Mark L Eldore, M.D. NPI is 1134120256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

824 SOUTHPARK CIRCLE
ATHENS, TX
ZIP 75752
Phone: (903) 675-7376
Fax: (903) 677-4234

The NPI 1134120256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D2126413 - physician office with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Measurement of total estradiol (hormone) (HCPCS:82670)
  • Gonadotropin, follicle stimulating (reproductive hormone) level (HCPCS:83001)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Automated urinalysis test (HCPCS:81003)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Smear for infectious agents (HCPCS:87210)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 2/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyK0461TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18F2070MEDICARE PINTEXAS
28S2730OTHERTEXASBCBS PROVIDER NUMBER
3178423301MEDICAIDTEXAS
4G98341MEDICARE UPINTEXAS
5048064207MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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