DR. JON M PORTIS (NPI# 1073615514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073615514 |
| Entity Type | Individual |
| Full Name | DR. JON M PORTIS |
| Credential | M.D. |
| Practice Address |
1380 Lusitana St Ste 714 Honolulu HI 96813-2449 |
| Mailing Address |
1380 Lusitana St Ste 714 Honolulu HI 96813-2443 |
| Practice Telephone | 8085285333 |
| Mailing Telephone | 8085285333 |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4643 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 01821501 | 05 |
| Street Address |
1380 LUSITANA ST STE 714 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016383 | Denny L Bales | Specialist | 1380 Lusitana St, Suite 1002, Honolulu, HI 96813-2449 | 2005-07-11 |
| 1780183467 | Greg Inoue | Pharmacist | 1380 Lusitana St, Honolulu, HI 96813-2449 | 2018-02-07 |
| 1174073803 | Edith Pang Md LLC | Internal Medicine | 1380 Lusitana St, Suite 404, Honolulu, HI 96813-2449 | 2016-10-05 |
| 1538515218 | Aloha Heart and Vascular Institute LLC | Internal Medicine | 1380 Lusitana St, Suite 902, Honolulu, HI 96813-2449 | 2016-05-11 |
| 1568836195 | Elaine Tsukayama, Md, LLC | Pediatrics | 1380 Lusitana St, Ste 907, Honolulu, HI 96813-2449 | 2015-11-19 |
| 1619348521 | Darius H Amjadi,md,inc | Clinic/Center | 1380 Lusitana St, Honolulu, HI 96813-2449 | 2015-10-19 |
| 1366810780 | Judy T. Okimura, Md LLC | Pediatrics | 1380 Lusitana St, Suite 404, Honolulu, HI 96813-2449 | 2015-09-02 |
| 1861812729 | Lana M. Arakaki, Md, Inc | Clinic/Center | 1380 Lusitana St, Suite 514, Honolulu, HI 96813-2449 | 2014-04-18 |
| 1255769303 | Chang Dich Lai M.d. Inc | Preferred Provider Organization | 1380 Lusitana St, Suite 1015, Honolulu, HI 96813-2449 | 2013-10-29 |
| 1356785547 | Vincent J. Nip, M.d., Inc | Plastic Surgery | 1380 Lusitana St, Suite 808, Honolulu, HI 96813-2449 | 2013-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048005 | Oculofacial Plastic Surgery of Hawaii Inc | Ophthalmology | 1301 Punchbowl St # 912, Honolulu, HI 96813-2402 | 2020-06-16 |
| 1629534268 | Project Vision Hawaii | Ophthalmology | 1110 Nuuanu Ave, Honolulu, HI 96817-5119 | 2019-02-19 |
| 1285096289 | Jonathan Lo | Ophthalmology | 1441 Kapiolani Blvd Ste 418, Honolulu, HI 96814-4400 | 2016-03-28 |
| 1760820633 | Daniel Sung Choi | Ophthalmology | 1712 Liliha St Ste 400, Honolulu, HI 96817-3114 | 2013-06-12 |
| 1598024077 | Neda Nikpoor | Ophthalmology | 1100 Ward Ave Ste 1000, Honolulu, HI 96814-1620 | 2012-05-03 |
| 1780942722 | Anna Walker Parlin | Ophthalmology | 1329 Lusitana St Ste 502, Honolulu, HI 96813 | 2012-04-27 |
| 1578889945 | Jeffrey Peterson | Ophthalmology | 615 Piikoi St Ste 205, Honolulu, HI 96814-3139 | 2010-04-10 |
| 1326200320 | Paula Elizabeth Young | Ophthalmology | 1620 Ala Moana Blvd Ste 500, Honolulu, HI 96815-1437 | 2008-06-30 |
| 1942341466 | Lin Eye Surgery & Laser Center LLC | Ophthalmology | 1441 Kapiolani Blvd Ste 1488, Honolulu, HI 96814-4471 | 2007-02-08 |
| 1740326081 | Gregory William Schmidt | Ophthalmology | 1380 Lusitana St Ste 604, Queen's Medical Center, Pob I, Honolulu, HI 96813-2449 | 2007-01-30 |
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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.