DR. JUSTIN PAUL DODGE (NPI# 1235112962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235112962 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN PAUL DODGE |
| Credential | M.D. |
| Practice Address |
1 Jarrett White Rd Tripler Amc HI 96859-5001 |
| Mailing Address |
94-226 Haea Pl Waipahu HI 96797-5455 |
| Practice Telephone | 8084336669 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD-12669 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1 JARRETT WHITE RD |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508857517 | Nancy Lowe Macdonald | Radiology | Jarrett White Road, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2005-10-31 |
| 1649244229 | Thomas Francis Murphy | Radiology | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-02-13 |
| 1003880550 | Lynne Ruess | Radiology | 1 Jarrett White Rd, Tripler Army Medica Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-02-13 |
| 1396728226 | Andrew Charles Gjelsteen | Radiology | 1 Jarrett White Rd, Department of Radiology (mchk-dr), Tripler Amc, HI 96859-5001 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730797 | Elevation Medical Imaging Hawaii LLC | Radiology | 68-1820 Waikoloa Rd Ste M101m102, Waikoloa, HI 96738 | 2020-11-02 |
| 1134681067 | Bay Imaging Consultants Medical Group Inc | Radiology | 500 Ala Moana Blvd Ste 7-421, Honolulu, HI 96813-4902 | 2019-04-01 |
| 1942755657 | Telerad of Hi Account Management LLC | Radiology | 98-1635 Piki St, Aiea, HI 96701-1731 | 2016-08-23 |
| 1750725255 | Telerad of Hi Account Management LLC | Radiology | 4355 E Waiola Loop, Wailea, HI 96753-8499 | 2013-04-26 |
| 1043654015 | Jean Paul Colon-pons | Radiology | 1380 Lusitana St Ste 1007, Honolulu, HI 96813 | 2013-04-22 |
| 1225300296 | Frederick Bennett Giles | Radiology | 350 Ward Ave Ste 106-10, Honolulu, HI 96814-4010 | 2012-02-06 |
| 1235440876 | Lana Gimber | Radiology | 500 Ala Moana Blvd Ste 405, Honolulu, HI 96813 | 2010-06-29 |
| 1669791844 | Christian Scott Welch | Radiology | 321 N Kuakini St Ste 405, Honolulu, HI 96817-2391 | 2010-05-26 |
| 1972832202 | Hawaii Telerad LLC | Radiology | 4043 Aloalii Drive, Princeville, HI 96722-0000 | 2009-12-16 |
| 1558695635 | California Advanced Imaging Medical Associates, Inc. | Radiology | 72-124 Hali'ipua Place, Unit 12, Kailua Kona, HI 96745 | 2009-09-23 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER AMC |
| Zip Code | 96859 |
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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.