MICHAEL EMIL STOUDMIRE (NPI# 1083818595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083818595 |
| Entity Type | Individual |
| Full Name | MICHAEL EMIL STOUDMIRE |
| Credential | D.O |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center Tamc HI 96859-5001 |
| Practice Telephone | 8084336669 |
| Mailing Telephone | 8084336669 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | DOS 1157 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER |
| City | TAMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268188 | Millard Dalton Brown IIi | Psychiatry & Neurology | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-07-08 |
| 1801092689 | Susanna Naomi Holt | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
| 1104023712 | Phuoc T Nguyen | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
| 1205032075 | David James Peterson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-26 |
| 1366648685 | Charles Tri Nguyen | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-24 |
| 1194920546 | Valerie Lopes Pires Edmonds | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-17 |
| 1568667970 | Jordanna M Hostler | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-15 |
| 1336343987 | Eric Michael Swanson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-14 |
| 1700080231 | Christina B Rumayor | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
| 1821291253 | Judy Kovell | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2007-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639554272 | Tracy Hunter | General Practice | 1 Jarrett White Road, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2015-07-24 |
| 1104023712 | Phuoc T Nguyen | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
| 1720289200 | David C Thoma | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-05-30 |
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| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1366926313 | Doctors of Waikiki | General Practice | 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 | 2018-09-15 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1023517968 | Woundtech of Hawaii, Inc | General Practice | 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 | 2018-02-06 |
| 1285184796 | Summer Breeze LLC | General Practice | 4211 Waialae #202, Honolulu, HI 96816-5319 | 2016-10-07 |
| 1164879649 | Patrick Young | General Practice | 400 Hualani St Ste 196, Hilo, HI 96720-4389 | 2016-05-16 |
| 1205216728 | William Garrett Holder Jr. | General Practice | Schofield Barracks Army Health Clinic Glennan Street, Bldg 677, Schofield Barracks, HI 96787 | 2015-06-01 |
| 1487050241 | Coralie A.k. Texeira, M.d. LLC | General Practice | 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707-2232 | 2014-11-06 |
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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.